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Related Experiment Video

Updated: May 17, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

Aortic valve replacement through the upper ministernotomy: preliminary experience with modified technique.

F Ceresa¹, F Sansone, F Patanè

¹Division of Cardiac Surgery, "Ospedali Riuniti Papardo-Piemonte" Hospital, Messina, Italy.

Il Giornale Di Chirurgia

|October 26, 2012

Summary

A novel minimally invasive technique for aortic valve replacement using upper mini-sternotomy and central cannulation was developed. This approach reduces incision length and surgical complications, yielding good cosmetic outcomes in 60 patients.

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Last Updated: May 17, 2026

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Area of Science:

Cardiovascular Surgery
Minimally Invasive Procedures
Thoracic Surgery

Background:

Minimally invasive cardiac surgery reduces complications compared to full sternotomy.
Aortic valve replacement traditionally requires a full sternotomy.

Purpose of the Study:

To introduce a new central cannulation method for aortic valve replacement.
To reduce surgical incision length via upper mini-sternotomy.
To improve surgical visualization without enlarging the incision.

Main Methods:

Developed a modified technique for central cannulation.
Utilized upper mini-sternotomy for aortic valve replacement.
Performed two small additional incisions for arterial and atrial cannulation.
Applied the technique in 60 patients.

Main Results:

The modified technique successfully reduced surgical incision length.
No sternal infections or other surgical complications were observed.
Good cosmetic results were achieved in all patients.
The technique improved surgical view without enlarging the primary incision.

Conclusions:

The new central cannulation method via upper mini-sternotomy is safe and effective for aortic valve replacement.
This approach offers reduced invasiveness and improved aesthetics.
The technique minimizes complications associated with traditional sternotomy.