ArticleSurgical case reports2025
Minimally Invasive Aortic Valve Replacement in Osteogenesis Imperfecta: A Case Report.
Article in Surgical case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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9 authors.
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Abstract
introductionCardiac surgery in patients with osteogenesis imperfecta is a high-risk procedure because of tissue fragility, which leads to complications, such as bleeding, fractures, and increased mortality. A less invasive approach, such as right anterior mini-thoracotomy, may help reduce these risks and improve outcomes. CASE PRESENTATION: A 36-year-old woman with severe aortic regurgitation was referred for surgery. She had type I osteogenesis imperfecta, which was diagnosed based on childhood fractures, deafness, and a family history of the disease. To avoid sternotomy and minimize the risk of fracture, aortic valve replacement was performed through a small right anterior thoracotomy using a wound retractor instead of a thoracotomy device. A 23-mm mechanical valve was implanted with cross-clamp and cardiopulmonary bypass times of 62 and 107 min, respectively. The patient's postoperative course was uneventful. At the 2-year follow-up, she remained in good condition, with no significant echocardiographic findings.
conclusionsFor patients with osteogenesis imperfecta, the right anterior mini-thoracotomy approach is an excellent surgical option that may help improve outcomes.
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