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Ann Thorac Surg. 2009 Sep;88(3):992-4. doi: 10.1016/j.athoracsur.2009.01.052.

Awake transapical aortic valve implantation using thoracic epidural anesthesia.

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Department of Anesthesiology, Heart Center Leipzig, University Leipzig, Leipzig, Germany.


Transapical aortic valve implantation is a minimally invasive, beating-heart procedure that normally requires a general anesthetic. We herein report an 85-year-old patient with impaired pulmonary function who underwent successful transapical aortic valve implantation while awake, using a thoracic epidural anesthetic.

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