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Step-by-Step Minimally Invasive Aortic Valve Replacement: the RAT Approach
In the growing era of transcatheter aortic valve implantation, it is crucial to develop minimally invasive surgical techniques. These methods enable easier recovery from surgical trauma, especially in elderly and frail patients. Minimally invasive aortic valve replacement (MIAVR) is frequently perfo...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Cirurgia Cardiovascular
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8357396/ https://www.ncbi.nlm.nih.gov/pubmed/33577265 http://dx.doi.org/10.21470/1678-9741-2020-0393 |
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author | Zubarevich, Alina Zhigalov, Konstantin Schmack, Bastian Rad, Arian Arjomani Vardanyan, Robert Wendt, Daniel Ruhparwar, Arjang Weymann, Alexander |
author_facet | Zubarevich, Alina Zhigalov, Konstantin Schmack, Bastian Rad, Arian Arjomani Vardanyan, Robert Wendt, Daniel Ruhparwar, Arjang Weymann, Alexander |
author_sort | Zubarevich, Alina |
collection | PubMed |
description | In the growing era of transcatheter aortic valve implantation, it is crucial to develop minimally invasive surgical techniques. These methods enable easier recovery from surgical trauma, especially in elderly and frail patients. Minimally invasive aortic valve replacement (MIAVR) is frequently performed via upper hemisternotomy. We describe MIAVR via right anterior thoracotomy, which is associated with less trauma, rapid mobilization, lower blood transfusion rates, and lower risk of postoperative wound infections. As minimally invasive procedures tend to take longer operative times, we suggest using rapid-deployment valve prostheses to overcome this limitation. This description focuses on the technical aspects and preoperative assessment. |
format | Online Article Text |
id | pubmed-8357396 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
record_format | MEDLINE/PubMed |
spelling | pubmed-83573962021-08-13 Step-by-Step Minimally Invasive Aortic Valve Replacement: the RAT Approach Zubarevich, Alina Zhigalov, Konstantin Schmack, Bastian Rad, Arian Arjomani Vardanyan, Robert Wendt, Daniel Ruhparwar, Arjang Weymann, Alexander Braz J Cardiovasc Surg How I Do It In the growing era of transcatheter aortic valve implantation, it is crucial to develop minimally invasive surgical techniques. These methods enable easier recovery from surgical trauma, especially in elderly and frail patients. Minimally invasive aortic valve replacement (MIAVR) is frequently performed via upper hemisternotomy. We describe MIAVR via right anterior thoracotomy, which is associated with less trauma, rapid mobilization, lower blood transfusion rates, and lower risk of postoperative wound infections. As minimally invasive procedures tend to take longer operative times, we suggest using rapid-deployment valve prostheses to overcome this limitation. This description focuses on the technical aspects and preoperative assessment. Sociedade Brasileira de Cirurgia Cardiovascular 2021 /pmc/articles/PMC8357396/ /pubmed/33577265 http://dx.doi.org/10.21470/1678-9741-2020-0393 Text en https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | How I Do It Zubarevich, Alina Zhigalov, Konstantin Schmack, Bastian Rad, Arian Arjomani Vardanyan, Robert Wendt, Daniel Ruhparwar, Arjang Weymann, Alexander Step-by-Step Minimally Invasive Aortic Valve Replacement: the RAT Approach |
title | Step-by-Step Minimally Invasive Aortic Valve Replacement: the RAT Approach |
title_full | Step-by-Step Minimally Invasive Aortic Valve Replacement: the RAT Approach |
title_fullStr | Step-by-Step Minimally Invasive Aortic Valve Replacement: the RAT Approach |
title_full_unstemmed | Step-by-Step Minimally Invasive Aortic Valve Replacement: the RAT Approach |
title_short | Step-by-Step Minimally Invasive Aortic Valve Replacement: the RAT Approach |
title_sort | step-by-step minimally invasive aortic valve replacement: the rat approach |
topic | How I Do It |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8357396/ https://www.ncbi.nlm.nih.gov/pubmed/33577265 http://dx.doi.org/10.21470/1678-9741-2020-0393 |
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