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Updated: Aug 29, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
Endoscopic aortic valve replacement
Borut Gersak1, Maja Sostaric, Jurij-Matija Kalisnik
1Department of Cardiovascular Surgery, University Medical Center Ljubljana, Ljubljana, Slovenia. borut.gersak@maat.si
Abstract:
During the last 8 years, many different approaches for minimally invasive aortic valve surgery have emerged. We have developed a technique that enables total endoscopic aortic valve replacement with port access, via a small right lateral thoracotomy with only soft tissue retraction and minimally invasive aortic crossclamping. The operation is performed under video guidance, since no direct eye vision is possible. We believe this is the first such operation performed in cardiac surgery and that it mak es possible broadening of indications for nonsternotomy-video-directed surgery in the future.
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