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Orthotopic Heart Transplantation through Minimally Invasive Approach

Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, USA

For reprint information contact: Jose L Navia, MD, Tel: 1 216 444 5104, Fax: 1 216 445 3272, Email: naviaj{at}ccf.org, Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, 9500 Euclid Avenue/F24, Cleveland, OH 44195, USA.

Minimal access approaches are a trend in cardiothoracic surgery. Gained experience in these minimally invasive techniques have allowed its application to more complicated procedures, such as heart transplantation. Both classic and bicaval techniques of cardiac transplant were performed through a partial lower sternotomy in 10 end-stage heart failure patients with no previous cardiac surgery. The procedure was considered safe with adequate exposure, minimal postoperative pain medication requirements, acceptable operative times, and good long-term outcome.