Related Experiment Video
Updated: Jul 26, 2025
08:50
Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
11.7K
Endoscopic aortic valve surgery in isolated and concomitant procedures.
Daniele Zoni1, Giovanni Domenico Cresce1, Tommaso Hinna-Danesi1
1Division of Cardiac Surgery, S. Bortolo Hospital, Vicenza, Italy.
Interdisciplinary Cardiovascular and Thoracic Surgery
|June 16, 2023
Summary
Endoscopic aortic valve replacement (AVR) allows for combined procedures through the same port without increasing mortality or stroke risk. This approach offers a safe option for patients needing multiple cardiac surgeries.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Cardiac Surgery
Background:
- Endoscopic aortic valve replacement (AVR) is a minimally invasive technique.
- The feasibility of performing concomitant procedures during endoscopic AVR via a single working port requires evaluation.
Purpose of the Study:
- To assess early outcomes of endoscopic AVR.
- To determine the risks associated with concomitant procedures performed through the same working port during endoscopic AVR.
Main Methods:
- A retrospective analysis of 342 patients undergoing endoscopic AVR between July 2013 and May 2021.
- Comparison of outcomes between patients who underwent isolated AVR and those who had AVR with concomitant procedures.
- Surgical access involved a 3-4 cm working port with peripheral cardiopulmonary bypass.
Main Results:
- 105 patients (30.7%) had combined procedures, including coronary artery bypass, ascending aorta replacement, and mitral/tricuspid valve surgery.
- In-hospital mortality (0.4% vs 1.9%) and postoperative stroke rates (1.7% vs 2.85%) were not significantly different between isolated and combined groups.
- Pacemaker implantation rates were higher in the combined group (7.6% vs 2.1%, P=0.014).
Conclusions:
- Endoscopic AVR can be safely combined with other major cardiac procedures through a single working port.
- Concomitant procedures do not adversely affect in-hospital mortality or stroke rates.
- Careful patient selection and surgical planning are essential for combined endoscopic AVR procedures.
Related Concept Videos
01:25Aortic Regurgitation III: Medical Management
26
Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
26
01:26Mitral Stenosis III: Medical Management
14
Mitral stenosis, a condition marked by the narrowing of the mitral valve, necessitates an integrated approach for effective management. This approach includes preventative measures, medical therapy, and surgical interventions to reduce symptoms and prevent complications.PreventionPrevention of mitral stenosis primarily focuses on reducing the incidence of bacterial infections, particularly streptococcal infections, which can lead to rheumatic fever and subsequent valvular damage. Timely...
14