{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,11,3]],"date-time":"2022-11-03T04:58:07Z","timestamp":1667451487086},"reference-count":0,"publisher":"European Association of Cardiothoracic Surgery (EACTS Publishing Ltd)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MMCTS"],"abstract":"<jats:p>Reoperations for a dysfunctional mechanical aortic valve prosthesis are usually performed with a repeat sternotomy. Reopening the chest may be associated with a heart structure tear, bleeding, excessive transfusion, and a possible unfavorable outcome. Experience performing a redo aortic valve replacement with a minimally invasive approach and avoiding lysis of the pericardial adhesions is growing. We describe a redo aortic valve replacement procedure performed because of subvalvular pannus formation in a patient with a mechanical prosthesis. A partial J-shaped hemisternotomy at the 3rd intercostal space was performed; the ascending aorta was exposed and the valve was replaced with a sutureless bioprosthesis. The video tutorial shows the surgical approach, cardiopulmonary bypass solutions, and sutureless valve deployment.<\/jats:p>","DOI":"10.1510\/mmcts.2021.008","type":"journal-article","created":{"date-parts":[[2021,3,9]],"date-time":"2021-03-09T17:25:01Z","timestamp":1615310701000},"source":"Crossref","is-referenced-by-count":0,"title":["Minimally invasive redo aortic valve replacement with a sutureless valve implant"],"prefix":"10.1510","member":"10966","published-online":{"date-parts":[[2021,3,9]]},"container-title":["The Multimedia Manual of Cardio-Thoracic Surgery"],"original-title":[],"deposited":{"date-parts":[[2022,11,2]],"date-time":"2022-11-02T16:03:51Z","timestamp":1667405031000},"score":1,"resource":{"primary":{"URL":"https:\/\/mmcts.org\/tutorial\/1630"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,9]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1510\/mmcts.2021.008","relation":{},"subject":[],"published":{"date-parts":[[2021,3,9]]}}}