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Updated: Feb 15, 2026
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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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Minimally invasive aortic valve replacement through an upper hemisternotomy: the Vienna technique
Alfred Kocher1, Iuliana Coti1, Guenther Laufer1
1Division of Cardiac Surgery, Department of Surgery, Medical University of Vienna, Vienna, Austria.
Summary
Minimally invasive aortic valve replacement is common. This study details the upper-hemisternotomy approach, offering technical insights for this specific surgical technique.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Minimally Invasive Procedures
Background:
- Minimally invasive cardiac surgery is gaining prominence.
- Aortic valve replacement (AVR) is a common cardiac procedure.
- The upper-hemisternotomy approach offers an alternative to traditional sternotomy.
Purpose of the Study:
- To describe the technical aspects of the upper-hemisternotomy approach for aortic valve replacement.
- To provide insights into optimizing this minimally invasive technique.
Main Methods:
- Detailed description of the upper-hemisternotomy surgical technique.
- Focus on specific anatomical considerations and procedural steps.
Main Results:
- The upper-hemisternotomy approach facilitates minimally invasive aortic valve replacement.
- Technical considerations are crucial for successful outcomes.
Conclusions:
- The upper-hemisternotomy is a viable minimally invasive option for aortic valve replacement.
- Detailed technical knowledge enhances procedural success and patient outcomes.
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