Review of Minimally Invasive Aortic Valve Surgery
#MMPMID29588692
Boix-Garibo R
; Uzzaman MM
; Bapat VN
Interv Cardiol
2015[Sep]; 10
(3
): 144-148
PMID29588692
show ga
Minimally invasive aortic valve surgery (MIAVS) has been developed for the last
20 years. The improvements in techniques have permitted cardiac surgeons to
perform aortic valve replacement safely and efficiently with minimally incisions.
Patients have become older and have multiple comorbidities and this is expected
to grow in number. Less-invasive procedures are known to reduce the number of
complications, together with smaller incisions, less pain, less blood loss and
reduced length of hospital stay. Selective preoperative planning with computed
tomography is key to the pre-investigation stage. Hybrid and staged procedures
with interventional cardiologists are part of the armamentarium and may be
appealing for the present and near future. Despite the nature of demanding
procedures and longer learning curve with increased cardiopulmonary bypass times,
the outcomes are comparable with same quality as conventional open surgery.
Patient recovery is the ultimate purpose of these approaches.
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