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Updated: Sep 1, 2025

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
The need for comprehensive multidisciplinary programs, complex interventions, and precision medicine for bicuspid
Erin E Crawford1, Patrick M McCarthy1,2, S Chris Malaisrie1,2
1Division of Cardiac Surgery, Northwestern Medicine, Chicago, IL, USA.
Abstract:
Patients with bicuspid aortic valves commonly require an intervention on their valve and/or aorta. Because of their heterogeneous presentations, recommendations for imaging surveillance and surgery timing are highly individualized. Critical points in care include time of diagnosis, transition from adolescent to adult medicine, and surgery referral. To better support patients with bicuspid aortic valves, we developed a comprehensive program that utilizes the multidisciplinary care team, complex interventions, and translational research protocols. We describe our program structure and experience with this common and sometimes challenging diagnosis.
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