[HSF] AVR through Right 2nd IC Incision

[Nasser F. Abou'Seada]

Dear Dr. Zhou
Thank you for your kind response. would you please elaborate more on your
technique details and your experience in such cases.
Kindest Regards

NFA


On 5/7/07, Zhandong Zhou <zzhoumd at pol.net> wrote:
>
> You are right, the incision is very similar to Chamberlain's incision. It
> is easier to do on AR patients. AS is a little more difficult, root
> enlargment can also be performed through the same incision. If patient has
> calcified aorta/bad EF/redo, I will not do it. Other than soft tissue, the
> 3rd cartilage needs to be transected. It will be repired with heavy stitches
> and a small metal plate.
>
> Z Zhou
>
>
> From: "Nasser F. Abou'Seada" nfaabouseada at gmail.com
> Dr. Zhou
> surely the right 2nd ICS incision is more cosmetically preferred.
> Sure, avoiding median sternotomy especially an upper L- shaped incision is a
> great advantage. all you cut through is soft tissues?... that reminds me
> with the very similar approach of Chamberlain's incision anterior
> mediastinotomy.
> I wonder whether you have a preset criteria as to when to use such
> approach, and in which cases. we 'd be very interested in your experience in
> that technique.
> Kindest Regrads
> NFA
>
> --
> Nasser  F.  Abou'Seada,
> MB,ChB,MD,FRCSEd,ChM,ChD C/Th,
> FICS,FISCVS,FSSRCTS,FHMS,MESC