Oct 27, 2004

Minimally invasive heart valve surgery: already established in clinical routine?

Expert Review of Cardiovascular Therapy
H GulbinsAndreas Hannekum

Abstract

Cardiac valve replacement with the need for open heart surgery still has the highest morbidity and mortality rates among routine cardiac surgery, with the exception of aortic aneurysm repair and surgery for congenital heart defects. Reducing invasiveness is a desirable goal, and different strategies and approaches have been used to achieve this with valve repair or replacement less invasive. Despite the good results reported with minimally invasive techniques, time on extracorporal circulation is always longer compared with the conventional procedures. Since these techniques do not reduce real invasiveness but rather improve the cosmetic results, minimal-access surgery would be a better nomenclature. With the exception of patients at a high risk for sternal infections or redo heart operations, a reduction in postoperative morbidity by the avoidance of a median sternotomy is not yet definitely proven. Meanwhile, most surgeons comply with the demand for minimally invasive surgery posed by patients by reducing the length of the incision in aortic valve replacement and by using a right anterolateral approach with a limited incision for mitral valve operations. However, the use of endoscopic or robotic devices is limited to a few ce...Continue Reading

  • References44
  • Citations5

References

  • References44
  • Citations5

Citations

Mentioned in this Paper

Endoscopy (Procedure)
Pain, Postoperative
Thoracotomy
Morbidity Aspects
Entire Aortic Valve
Mitral Valve
Entire Heart Valve
Discipline of Heart Surgery
Heart Valve Prosthesis Implantation
Congenital Heart Defects

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