[AORTAL VALVE PROSTHESIS USING MINIINVASIVE ACCESS. ТЕCHNICAL ASPECTS].

Area of Science:

• Cardiovascular Surgery
• Thoracic Surgery
• Minimally Invasive Procedures

Background:

• Aortic valve prostheses are crucial for treating aortic valve disease.
• Traditional median sternotomy carries significant surgical trauma and morbidity.
• Minimally invasive approaches are increasingly explored to mitigate surgical risks.

Purpose of the Study:

• To present the technical peculiarities of aortic valve prosthesis implantation using a mini-invasive approach.
• To evaluate the efficacy and safety of upper partial J-like ministernotomy for aortic valve surgery.

Main Methods:

• Surgical procedures were performed on 48 patients.
• An upper partial J-like ministernotomy was employed for access.
• Focus on technical aspects of mini-invasive aortic valve prosthesis insertion.

Main Results:

• The upper partial J-like ministernotomy approach was found to be effective and secure.
• This method demonstrated advantages over classic longitudinal median sternotomy.
• Key benefits include minimized surgical trauma and preservation of the thoracic cage framework.

Conclusions:

• Upper partial J-like ministernotomy is a viable and advantageous technique for aortic valve prosthesis implantation.
• The procedure offers reduced surgical trauma and superior cosmetic results.
• This approach represents a significant advancement in minimally invasive cardiac surgery.