First Successful HAART Ring-Assisted Aortic Valve Repair via Right Anterior Thoracotomy Approach

Abstract

Introduction: We present a 20-year-old gentleman with bicuspid aortic valve (BAV) Type I and severe aortic regurgitation who underwent successful aortic valve repair using a HAART 200 annuloplasty ring through a minimally invasive right anterior thoracotomy (RAT) approach. This appears to be the first reported case of HAART geometric ring-assisted aortic valve repair via RAT. Case Presentation: The procedure was performed with peripheral femoral–femoral cannulation under intraoperative transesophageal echocardiographic (IOTEE) guidance. The postoperative course was uneventful, and early echocardiography revealed trivial aortic regurgitation with preserved left ventricular function. Conclusions: The procedure was performed with peripheral femoral-femoral cannulation under IOTEE guidance. The postoperative course was uneventful, and early echocardiography revealed trivial aortic regurgitation with preserved left ventricular function. This case demonstrates the feasibility and reproducibility of combining anatomic ring annuloplasty with a minimally invasive approach for BAV repair.