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Updated: Jun 16, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Management of aortic valve disease in the presence of left ventricular dysfunction
Farouk Mookadam1, Sherif E Moustafa, Bijoy Khandheria
1Cardiovascular Diseases and Internal Medicine, Mayo College of Medicine, Mayo Clinic Arizona, 13400 East Shea Blvd, Scottsdale, AZ 85259, USA. mookadam.farouk@mayo.edu
Abstract:
The development of heart failure in patients with aortic valve disease is associated with increased mortality, unless aortic valve replacement is performed. There is an especially high risk of death among patients with low ejection fraction. The heart failure must be treated and the patient's condition stabilized before surgery is performed. A delay in surgery, on the other hand, may lead to irreversible cardiac dysfunction and culminate in heart failure. Initial management must include an evaluation of the severity of the lesion and the functional state of the left ventricle. It is possible to achieve both of these goals simultaneously with echocardiography and pharmacologic challenge.
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