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Expanding the Minimally Invasive Approach towards the Ascending Aorta—A Practical Overview of the Currently Available Techniques
Minimally invasive techniques have gained immense importance in cardiovascular surgery. While minimal access strategies for coronary and mitral valve surgery are already widely accepted and often used as standard approaches, the application of minimally invasive techniques is currently expanded towa...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10534602/ https://www.ncbi.nlm.nih.gov/pubmed/37763737 http://dx.doi.org/10.3390/medicina59091618 |
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author | Helms, Florian Schmack, Bastian Weymann, Alexander Hanke, Jasmin Sarah Natanov, Ruslan Martens, Andreas Ruhparwar, Arjang Popov, Aron-Frederik |
author_facet | Helms, Florian Schmack, Bastian Weymann, Alexander Hanke, Jasmin Sarah Natanov, Ruslan Martens, Andreas Ruhparwar, Arjang Popov, Aron-Frederik |
author_sort | Helms, Florian |
collection | PubMed |
description | Minimally invasive techniques have gained immense importance in cardiovascular surgery. While minimal access strategies for coronary and mitral valve surgery are already widely accepted and often used as standard approaches, the application of minimally invasive techniques is currently expanded towards more complex operations of the ascending aorta as well. In this new and developing field, various techniques have been established and reported ranging from upper hemisternotomy approaches, which allow even extensive operations of the ascending aorta to be performed through a minimally invasive access to sternal sparing thoracotomy strategies, which completely avoid sternal trauma during ascending aorta replacements. All of these techniques place high demands on patient selection, preoperative planning, and practical surgical implementation. Application of these strategies is currently limited to high-volume centers and highly experienced surgeons. This narrative review gives an overview of the currently available techniques with a special focus on the practical execution as well as the advantages and disadvantages of the currently available techniques. The first results demonstrate the practicability and safety of minimally invasive techniques for replacement of the ascending aorta in a well-selected patient population. With success and complication rates comparable to classic full sternotomy, the proof of concept for minimally invasive replacement of the ascending aorta is now achieved. |
format | Online Article Text |
id | pubmed-10534602 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-105346022023-09-29 Expanding the Minimally Invasive Approach towards the Ascending Aorta—A Practical Overview of the Currently Available Techniques Helms, Florian Schmack, Bastian Weymann, Alexander Hanke, Jasmin Sarah Natanov, Ruslan Martens, Andreas Ruhparwar, Arjang Popov, Aron-Frederik Medicina (Kaunas) Review Minimally invasive techniques have gained immense importance in cardiovascular surgery. While minimal access strategies for coronary and mitral valve surgery are already widely accepted and often used as standard approaches, the application of minimally invasive techniques is currently expanded towards more complex operations of the ascending aorta as well. In this new and developing field, various techniques have been established and reported ranging from upper hemisternotomy approaches, which allow even extensive operations of the ascending aorta to be performed through a minimally invasive access to sternal sparing thoracotomy strategies, which completely avoid sternal trauma during ascending aorta replacements. All of these techniques place high demands on patient selection, preoperative planning, and practical surgical implementation. Application of these strategies is currently limited to high-volume centers and highly experienced surgeons. This narrative review gives an overview of the currently available techniques with a special focus on the practical execution as well as the advantages and disadvantages of the currently available techniques. The first results demonstrate the practicability and safety of minimally invasive techniques for replacement of the ascending aorta in a well-selected patient population. With success and complication rates comparable to classic full sternotomy, the proof of concept for minimally invasive replacement of the ascending aorta is now achieved. MDPI 2023-09-07 /pmc/articles/PMC10534602/ /pubmed/37763737 http://dx.doi.org/10.3390/medicina59091618 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Review Helms, Florian Schmack, Bastian Weymann, Alexander Hanke, Jasmin Sarah Natanov, Ruslan Martens, Andreas Ruhparwar, Arjang Popov, Aron-Frederik Expanding the Minimally Invasive Approach towards the Ascending Aorta—A Practical Overview of the Currently Available Techniques |
title | Expanding the Minimally Invasive Approach towards the Ascending Aorta—A Practical Overview of the Currently Available Techniques |
title_full | Expanding the Minimally Invasive Approach towards the Ascending Aorta—A Practical Overview of the Currently Available Techniques |
title_fullStr | Expanding the Minimally Invasive Approach towards the Ascending Aorta—A Practical Overview of the Currently Available Techniques |
title_full_unstemmed | Expanding the Minimally Invasive Approach towards the Ascending Aorta—A Practical Overview of the Currently Available Techniques |
title_short | Expanding the Minimally Invasive Approach towards the Ascending Aorta—A Practical Overview of the Currently Available Techniques |
title_sort | expanding the minimally invasive approach towards the ascending aorta—a practical overview of the currently available techniques |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10534602/ https://www.ncbi.nlm.nih.gov/pubmed/37763737 http://dx.doi.org/10.3390/medicina59091618 |
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