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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
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Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
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Related Experiment Video

Updated: Nov 22, 2025

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
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Minimal access in cardiac surgery.

Burak Onan1

  • 1Depatment of Cardiovascular Surgery, University of Health Sciences, Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Hospital, Istanbul, Turkey.

Turk Gogus Kalp Damar Cerrahisi Dergisi
|January 6, 2021
PubMed
Summary
This summary is machine-generated.

Minimally invasive cardiac surgery evolved with endoscopic and robotic techniques over 20 years. This review covers approaches, incisions, and technical details for performing cardiac operations with mini-incisions.

Keywords:
Minimally invasive cardiac surgerysurgical approachsurgical incision

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Area of Science:

  • Cardiovascular Surgery
  • Minimally Invasive Techniques

Background:

  • Minimally invasive cardiac surgery (MICS) has advanced significantly since the 1990s.
  • Technological progress includes endoscopic methods and robotic-assisted procedures.

Purpose of the Study:

  • To review the evolution and current approaches in MICS.
  • To detail various incision techniques and technical aspects.
  • To provide suggestions for optimizing MICS procedures.

Main Methods:

  • Review of literature on minimally invasive cardiac surgery.
  • Analysis of endoscopic and robotic surgical techniques.
  • Discussion of different mini-incision approaches.

Main Results:

  • MICS adoption has grown over two decades.
  • Experience has increased, enabling more complex procedures.
  • Various mini-incision strategies are available.

Conclusions:

  • Minimally invasive cardiac surgery is a well-established field.
  • Technical proficiency and appropriate approach selection are key.
  • Continued development offers improved patient outcomes.