AI Article Synopsis
- Minimally invasive aortic valve replacement is preferred for its reduced surgical trauma, faster recovery, and better pain management, leading to higher patient satisfaction.
- The procedure focuses on using smaller incisions and techniques like sparing the right internal thoracic artery and total central cannulation to enhance safety and efficiency.
- After performing over 1000 such surgeries, the authors have developed effective strategies to optimize the technique further, including the use of sutureless prosthesis to minimize surgery time.
Article Abstract
Minimally invasive aortic valve replacement has gained consent due to its good results in terms of minimized surgical trauma, faster rehabilitation, pain control and patient compliance. In our experience, we have tried to replicate the conventional and gold standard approach through a smaller incision. Sparing the right internal thoracic artery, avoiding rib fractures and performing total central cannulation is important to make this procedure minimally invasive from a biological point of view too. In addition, the total central cannulation is pivotal to simplify perfusion and drainage. Moreover, a complete step-by-step procedure optimization and-when possible-the use of sutureless prosthesis help to reduce the cross-clamping and perfusion times. After more than 1000 right anterior thoracotomy (RAT) aortic valve replacements, we have found tips and tricks to make our technique more effective.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7918393 | PMC |
| http://dx.doi.org/10.21470/1678-9741-2020-0165 | DOI Listing |
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