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Updated: Jul 13, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Minimally invasive aortic valve papillary fibroelastoma resection
Vivian M Hsu1, Pavan Atluri, Martin G Keane
1Division of Cardiothoracic Surgery, Department of Surgery, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA.
Minimally invasive surgery for aortic valve papillary fibroelastoma offers a less traumatic approach. This technique reduces complications and speeds recovery compared to traditional sternotomy, with all patients recovering well.
Area of Science:
- Cardiovascular Surgery
- Cardiac Oncology
- Minimally Invasive Procedures
Background:
- Papillary fibroelastomas are rare cardiac tumors.
- Traditional resection involves full median sternotomy, a highly invasive procedure.
- Minimally invasive cardiac surgery aims to reduce surgical trauma and improve patient outcomes.
Purpose of the Study:
- To present a case series demonstrating a minimally invasive approach for aortic valve papillary fibroelastoma resection.
- To evaluate the feasibility and benefits of this novel surgical technique.
Main Methods:
- Retrospective case series of patients undergoing minimally invasive resection of aortic valve papillary fibroelastoma.
- Description of the surgical technique, focusing on minimally invasive access and tumor resection.
- Analysis of operative outcomes, including operative time, blood loss, and recovery period.
Main Results:
- Successful resection of aortic valve papillary fibroelastoma using a minimally invasive approach in all patients.
- Reduced operative trauma, decreased postoperative bleeding, and fewer pulmonary complications observed.
- Expedited recovery from surgery compared to traditional sternotomy.
Conclusions:
- Minimally invasive resection is a safe and effective alternative for aortic valve papillary fibroelastoma.
- This approach offers significant advantages in reducing patient morbidity and accelerating recovery.
- Further research is warranted to establish long-term outcomes.
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