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Surgery Today
Published in: Surgery Today 8/2020

01-08-2020 | Aortic Valve Replacement | Review Article

Aortic valve approaches in the era of minimally invasive cardiac surgery

Authors: Go Ueno, Nobuhisa Ohno

Published in: Surgery Today | Issue 8/2020

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Abstract

The concept of minimally invasive cardiac surgery has been gradually adopted world-wide since its inception more than 2 decades ago. Recently, catheter intervention has been used in the treatment of structural heart disease. Most notably, minimally invasive transcatheter aortic valve implantation is now an established treatment option for aortic valve stenosis. There are three major approaches for minimally invasive aortic valve surgery: via median sternotomy, via the parasternal approach, and via the thoracotomy approach. All these approaches allow for a small skin incision and/or avoid full sternotomy. Moreover, several advanced variations with additional aortic procedures or totally endoscopic management have been developed. When considering each approach, low invasiveness must be balanced with safety, as surgeons broaden their insight of advanced medicine. Physical invasiveness is largely related to the surgical approach in minimally invasive surgery. We review the history and evolution of the different surgical approaches for minimally invasive aortic valve replacement.
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Metadata
Title
Aortic valve approaches in the era of minimally invasive cardiac surgery
Authors
Go Ueno
Nobuhisa Ohno
Publication date
01-08-2020
Publisher
Springer Singapore
Published in
Surgery Today / Issue 8/2020
Print ISSN: 0941-1291
Electronic ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-019-01848-z

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