Mini right thoracotomy as an approach to aortic valve closure in an assist device patient.

This case report concerns a patient status post left ventricular assist device placement that was complicated by new onset severe aortic valve insufficiency. After almost 2 years with his device, the patient had a syncopal episode and had worsening aortic valve regurgitation on echocardiography. The patient underwent an aortic valve closure via the right second intercostal space, which represents a new approach to managing these patients surgically and avoiding repeat sternotomies and further right ventricle injury.