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Updated: Apr 17, 2026

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Minimally invasive concomitant aortic and mitral valve surgery: the "Miami Method"
1Division of Cardiac Surgery, Mount Sinai Medical Center, Miami Beach, Florida, USA.
Minimally invasive double valve surgery using the "Miami Method" via right lateral thoracotomy offers a safe and effective alternative to traditional sternotomy. This approach enhances patient recovery by reducing surgical trauma.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Minimally Invasive Surgery
Background:
- Median sternotomy is the traditional approach for valve surgery.
- Minimally invasive techniques are increasingly accepted, but data for double valve surgery is limited.
- Combined aortic and mitral valve surgery presents unique challenges.
Purpose of the Study:
- To detail the
- Miami Method
- a minimally invasive approach for combined aortic and mitral valve surgery.
- To present the surgical techniques, concepts, and outcomes of this approach.
Main Methods:
- Right lateral thoracotomy approach for combined aortic and mitral valve replacement.
- Focus on specific surgical techniques and procedural steps.
- Data collection on patient outcomes and recovery.
Main Results:
- The
- Miami Method
- is demonstrated as a safe and effective technique.
- Reduced surgical trauma leads to enhanced patient recovery.
- Successful outcomes in patients undergoing combined aortic and mitral valve surgery.
Conclusions:
- Minimally invasive combined aortic and mitral valve surgery via right lateral thoracotomy is a viable and effective alternative.
- The
- Miami Method
- offers significant benefits in terms of reduced trauma and improved recovery.
- Further robust data on minimally invasive double valve surgery techniques is warranted.
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