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Updated: Jul 12, 2025

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
The David procedure through a right anterior minithoracotomy
Bashir Tsaroev1, Ravil Sharifulin2, Anastasiia Karadzha2
1Department of Heart Valve Surgery, E. Meshalkin National Medical Research Center, Novosibirsk, Russian Federation.
The right anterior minithoracotomy approach is feasible for aortic root surgery, including the David procedure, in select patients. This minimally invasive technique offers a viable alternative for complex aortic root interventions.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Cardiac Surgery
- Aortic Root Surgery
Background:
- Right anterior minithoracotomy is underutilized in minimally invasive aortic valve surgery.
- This approach is rarely employed for complex aortic root procedures.
- Patient selection and technical considerations are crucial for its successful application.
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