In general surgery, the aim of new techniques is to reduce the length of the skin incisions and/or to use endoscopic or laparoscopic instruments. The cardiac surgery makes not an exception. During the last two years, the material and the techniques are following a progressive evolution. Concerning the cardiac surgery of the adult, three techniques which are the mini-incision or thoracotomy and the surgery of the port-access are in full evolution. We describe the advantages and disadvantages.
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