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Innovations in robotic aortic valve surgery.

Ali Darehzereshki1, Lawrence Wei, Vinay Badhwar

  • 1Department of Cardiovascular and Thoracic Surgery, West Virginia University, Morgantown, West Virginia, USA.

Current Opinion in Cardiology
|December 29, 2025
PubMed
Summary
This summary is machine-generated.

Right transaxillary robotic aortic valve replacement (RAVR) offers a minimally invasive, nonsternotomy option for aortic valve disease. This approach provides surgical benefits while sparing the sternum and ribs, advancing cardiac surgery.

Keywords:
minimally invasive cardiac surgeryrobotic aortic valve replacementrobotic cardiac surgery

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Area of Science:

  • Cardiac Surgery
  • Minimally Invasive Procedures
  • Robotic Surgery

Background:

  • Growing patient and provider interest in less invasive alternatives to conventional sternotomy for aortic valve disease.
  • Minimally invasive surgical options include mini-sternotomy, right anterior thoracotomy, and robotic-assisted techniques.
  • Transcatheter aortic valve replacement (TAVR) is expanding into broader patient populations.

Purpose of the Study:

  • To review contemporary minimally invasive strategies for aortic valve disease management.
  • To highlight advancements in robotic approaches, specifically right transaxillary robotic aortic valve replacement (RAVR).

Main Methods:

  • Review of current literature on minimally invasive aortic valve disease treatment.
  • Focus on robotic-assisted techniques, particularly RAVR.
  • Utilizing the right transaxillary lateral mini-thoracotomy platform.

Main Results:

  • RAVR was introduced in January 2020 as a significant milestone.
  • RAVR is a nonsternotomy, rib-sparing surgical option.
  • It offers benefits comparable to conventional surgical aortic valve replacement (SAVR).

Conclusions:

  • RAVR provides longitudinal benefits of SAVR with minimally invasive advantages.
  • RAVR allows for comprehensive therapy, including concomitant procedures, especially in low/intermediate risk patients.
  • RAVR represents a transformative advance in cardiac surgery, adaptable for various complex procedures.