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  • Title: Aortic valve replacement through left thoracotomy after esophageal operation.
    Author: Wakasa S, Ooka T, Kubota S, Shiiya N, Murashita T, Matsui Y.
    Journal: Ann Thorac Surg; 2008 Nov; 86(5):1668-70. PubMed ID: 19049771.
    Abstract:
    A 67-year-old man was referred for aortic valve surgery due to aortic valve regurgitation. He underwent an aortic valve replacement through a left thoracotomy, since he had a history of esophageal surgery with substernal gastric tube reconstruction and lymph node dissection through a right thoracotomy 14 years ago. The aortic valve was successfully replaced with excellent visualization using vacuum-assisted venous drainage on a cardiopulmonary bypass. Although exposing the aortic valve through a left thoracotomy is difficult, the application of vacuum-assisted venous drainage helps visualize the aortic valve in this approach.
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