# Totally endoscopic aortic valve replacement with concomitant septal myectomy

## TL;DR

A 63-year-old woman underwent a minimally invasive, totally endoscopic procedure for aortic valve replacement and septal myectomy due to left ventricular outflow tract obstruction.

## Contribution

The paper presents a novel case of combining two cardiac procedures using a totally endoscopic approach.

## Key findings

- The patient had aortic valve calcification detected during a routine CT scan.
- A totally endoscopic approach was successfully used for aortic valve replacement and septal myectomy.
- The case highlights the feasibility of concurrent minimally invasive cardiac procedures.

## Abstract

Left ventricular outflow tract obstruction may become apparent after successful aortic valve replacement for severe aortic stenosis, necessitating both aortic valve replacement and septal myectomy. Despite significant advancements in minimally invasive surgery, the current literature on concurrent minimally invasive cardiac procedures is limited due to the varying optimal exposures required for each procedure. In this context, we present a case of aortic valve replacement with concomitant septal myectomy using a minimally invasive, totally endoscopic approach.

A 63-year-old woman with no significant underlying disease was diagnosed with aortic valve calcification during routine computed tomography (CT) performed as part of a medical checkup.