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Updated: Apr 18, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Right vertical infra-axillary thoracotomy for double valve replacement.
1Department of Thoracic and Cardiovascular Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, China.
This study reviews the right vertical infra-axillary thoracotomy (RVIAT) surgical approach for double valve replacement (DVR). It details the procedural experience and outcomes associated with this specific minimally invasive technique.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Minimally Invasive Procedures
Background:
- Double valve replacement (DVR) is a complex cardiac procedure.
- Minimally invasive surgical approaches are increasingly explored for cardiac surgery.
- The right vertical infra-axillary thoracotomy (RVIAT) offers a potential alternative to traditional sternotomy.
Purpose of the Study:
- To review the institutional experience with the RVIAT approach for DVR.
- To evaluate the feasibility and outcomes of RVIAT in DVR procedures.
- To assess the safety and efficacy of this minimally invasive technique.
Main Methods:
- Retrospective review of patients undergoing DVR via RVIAT.
- Analysis of perioperative data, including operative time, blood loss, and complications.
- Assessment of early postoperative outcomes and patient recovery.
Main Results:
- The RVIAT approach was successfully applied in a series of DVR cases.
- Perioperative outcomes were analyzed, highlighting specific procedural characteristics.
- Early postoperative results demonstrated the viability of the RVIAT technique.
Conclusions:
- The RVIAT is a feasible and potentially beneficial approach for double valve replacement.
- This minimally invasive technique may offer advantages in patient recovery and outcomes.
- Further investigation into RVIAT for DVR is warranted to confirm long-term benefits.
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