Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Mitral Stenosis III: Medical Management

Mitral Stenosis III: Medical Management

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...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

Distinct Exercise Response Patterns in Patients With Heart Failure With Preserved Ejection Fraction.

Journal of the American Heart Association·2026

Same author

Risk Stratification in Aortic Stenosis: Exercise Hemodynamics to Refine Risk in Early Cardiac Damage Stages.

European heart journal. Cardiovascular Imaging·2026

Same author

Comparative performance of wearable ECG devices for rhythm monitoring in endurance athletes.

American journal of preventive cardiology·2026

Same author

Angiotensin Receptor Neprilysin Inhibitor in Heart Failure With Preserved Ejection Fraction and Secondary Mitral Regurgitation: The PRAISE-MR Randomized Trial.

Circulation·2026

Same author

Comparative Value of HFpEF Scores for Risk Stratification in Patients with Unexplained Dyspnea.

European journal of heart failure·2026

Same author

Wearable-Derived Training Load and Coronary Atherosclerosis in Middle-Aged and Older Athletes and Physically Active Controls: A New Perspective From the Master@Heart Study.

Circulation·2026

Search research articles

Related Experiment Video

Updated: Jun 30, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

Aortic Valve Replacement: Totally Endoscopic versus Mini-Sternotomy.

Alaaddin Yilmaz¹, Jade Claessens^1,2, Loren Packlé¹

¹Department of Cardiothoracic Surgery, Jessa Hospital, Stadsomvaart 11, 3500 Hasselt, Belgium.

Journal of Clinical Medicine

|December 9, 2023

Summary

This summary is machine-generated.

Totally endoscopic aortic valve replacement (TEAVR) shows comparable one-year survival rates to minimally invasive mini-sternotomy aortic valve replacement (Mini-AVR). While TEAVR involves longer procedure times, it results in significantly less perioperative bleeding.

Keywords:

aortic valve replacement mini-sternotomy minimally invasive cardiac surgery totally endoscopic surgery

More Related Videos

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

Related Experiment Videos

Last Updated: Jun 30, 2026

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

Area of Science:

Cardiovascular Surgery
Minimally Invasive Procedures
Surgical Outcomes

Background:

Totally endoscopic aortic valve replacement (TEAVR) offers potential clinical advantages over mini-sternotomy approaches.
Direct comparative studies between TEAVR and mini-sternotomy for aortic valve replacement are limited.
This study retrospectively compares outcomes of TEAVR and mini-sternotomy aortic valve replacement (Mini-AVR).

Purpose of the Study:

To compare the clinical outcomes of totally endoscopic aortic valve replacement (TEAVR) versus mini-sternotomy aortic valve replacement (Mini-AVR).
To evaluate one-year mortality rates as the primary endpoint.
To analyze differences in procedural times and perioperative bleeding between the two techniques.

Main Methods:

Retrospective analysis of elective isolated aortic valve replacement patients between 2013 and 2021.
Inclusion of 392 patients undergoing TEAVR and 323 patients undergoing Mini-AVR.
Multivariable analysis to adjust for baseline differences and comparison of one-year mortality, cross-clamping time, cardiopulmonary bypass time, and perioperative bleeding.

Main Results:

TEAVR group experienced significantly longer aortic cross-clamping (61.93 ± 16.76 min vs 43.73 ± 13.71 min) and cardiopulmonary bypass times (93.23 ± 23.67 min vs 64.86 ± 23.02 min) (p < 0.001).
Perioperative bleeding was significantly lower in the TEAVR group (444.50 ± 515.84 mL vs 706.40 ± 542.77 mL) (p < 0.001).
One-year survival rates were comparable between TEAVR (93.3%) and Mini-AVR (94.5%) (p = 0.520).

Conclusions:

Totally endoscopic aortic valve replacement demonstrates comparable clinical results to mini-sternotomy aortic valve replacement.
TEAVR is a viable alternative to Mini-AVR, offering similar long-term survival benefits.
The choice between TEAVR and Mini-AVR may consider the trade-off between procedural efficiency and reduced bleeding.