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Updated: Mar 30, 2026
08:50
Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
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[Indications for surgery for valvular heart disease]
Marcel Halbach1, Thorsten Wahlers2, Stephan Baldus1
1Klinik III für Innere Medizin, Uniklinik Köln.
Deutsche Medizinische Wochenschrift (1946)
|November 20, 2015
Summary
Chronic valvular heart disease is rising due to aging populations. Treatment focuses on valve repair or replacement, with new catheter-based options emerging alongside traditional surgery.
Area of Science:
- Cardiology
- Geriatrics
- Medical Technology
Context:
- Increasing prevalence of chronic valvular heart disease (VHD) linked to demographic shifts and aging.
- Age-related primary aortic/mitral valve diseases and secondary mitral/tricuspid valve diseases are significant concerns.
- Current medical management offers only symptomatic relief; no drugs provide prognostic benefit.
Purpose:
- To outline current indications for surgical intervention in prevalent adult valvular heart diseases.
- To provide up-to-date recommendations for aortic stenosis, and aortic, mitral, and tricuspid regurgitation.
- To highlight the evolution from open-heart surgery to interventional catheter-based therapies.
Summary:
- Valvular heart disease management is critical, especially in older adults.
- Surgical repair or replacement are primary treatment modalities for significant VHD.
- Interventional catheter-based therapies represent a significant advancement in VHD treatment.
Impact:
- Informs clinical decision-making for VHD treatment.
- Facilitates adoption of advanced interventional techniques.
- Improves patient outcomes for valvular heart conditions.
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