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Updated: Sep 10, 2025

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Individualized Selection of Valve Intervention Strategies in Aortic Disease Is Key for Better Outcomes
Vasiliki Androutsopoulou1, Prokopis-Andreas Zotos1, Andrew Xanthopoulos2
1Department of Cardiothoracic Surgery, University Hospital of Larissa, 41110 Larissa, Greece.
None:
Aortic valve diseases affect a significant percentage of the population, and with the extension of survival expectancy, they are expected to increase furthermore. Surgical treatment of aortic valve diseases mainly includes valve replacement and, rarely, its repair. The technology of both surgical and transcatheter valves is evolving, and new prosthetic valves with improved characteristics are available, e.g., longer lifespan, faster implantation, better hemodynamic performance with better effective orifice area, suitable for small aortic annuli, etc. Minimally invasive surgical techniques are constantly evolving and spreading. New access sites are used for transcatheter valve implantation. The Heart Team determines the most appropriate intervention for each patient based on their anatomical and clinical profiles, aiming to optimize long-term outcomes.
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