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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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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.
Annals of Cardiothoracic Surgery
|August 12, 2022
Summary
Bicuspid aortic valve disease management requires individualized care due to varied patient presentations. A new comprehensive program uses a multidisciplinary team approach to improve care for these patients.
Area of Science:
- Cardiology
- Cardiovascular Surgery
- Medical Genetics
Background:
- Bicuspid aortic valve is a common congenital heart defect.
- Patients often require interventions for the aortic valve and aorta.
- Heterogeneous presentations necessitate individualized imaging surveillance and surgical timing.
Purpose of the Study:
- To describe the structure and experience of a comprehensive care program for bicuspid aortic valve patients.
- To highlight critical care points including diagnosis, transition to adult care, and surgical referral.
Main Methods:
- Development of a multidisciplinary care team.
- Implementation of complex interventions.
- Integration of translational research protocols.
Main Results:
- The program provides structured support for patients with bicuspid aortic valves.
- Experience with this challenging diagnosis is detailed.
- The program addresses critical care transition points.
Conclusions:
- A comprehensive, multidisciplinary program can improve care for bicuspid aortic valve patients.
- Individualized management strategies are crucial.
- The program structure facilitates better patient outcomes.
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