Interv Akut Kardiol. 2018;17(1):24-28 | DOI: 10.36290/kar.2018.004

Minimally invasive approaches in aortic valve surgery

Ján Gofus, Martin Voborník, Marek Pojar
Kardiochirurgická klinika, Univerzita Karlova, Lékařská fakulta a Fakultní nemocnice Hradec Králové

Aortic stenosis is one of the most frequent as well as one of the most often surgically treated cardiac valve diseases in adults inmodern society. There is a trend in modern surgery to shift from full median sternotomy towards minimally invasive approaches.Obviously, they are more favourable for the patient, but more challenging for the surgeon. The aim of this review is to introduce thetopic of minimally invasive approaches in aortic valve surgery, their advantages and disadvantages in comparison with traditionalfull median sternotomy, and an assumption of future directions of this field (sutureless valve prostheses, TAVI, robotic surgery). Themost frequent minimally invasive approaches (upper hemisternotomy and right anterior thoracotomy) are described in more detail.

Keywords: aortic valve replacement, ministernotomy, minithoracotomy, TAVI

Received: December 14, 2017; Accepted: February 7, 2018; Published: April 1, 2018  Show citation

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Gofus J, Voborník M, Pojar M. Minimally invasive approaches in aortic valve surgery. Interv Akut Kardiol. 2018;17(1):24-28. doi: 10.36290/kar.2018.004.
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