Endoscopic Ascending Aorta Replacement

<p>In this video, the authors describe their endoscopic technique to perform a minimally invasive ascending aorta replacement. Cardiopulmonary bypass was achieved through the femoral artery and femoral venous cannulation. The working port was a 3-4 cm anterior mini-right thoracotomy in the second right intercostal space. Three additional 5 mm mini-ports were needed for the introduction of the vent line in the fourth intercostal space, a 30° thoracoscope in the second intercostal space, and the Chitwood clamp in the first intercostal space. A previous high experience in endoscopic surgery is mandatory to approach the ascending aorta surgery using this approach.<br></p> <p><b>Suggested Reading </b></p> <p>Cresce GD, Sella M, Hinna Danesi T, Favaro A, Salvador L. Minimally invasive endoscopic aortic valve replacement: Operative Results. <a href="https://doi.org/10.1053/j.semtcvs.2020.01.002"><i>Semin Thorac Cardiovasc Surg</i>. 2020 Autumn;32(3):416-423.</a></p>