Aortic valve surgery has been undergone continuous development over the last years, involving less invasive techniques and the use of new technologies to reduce the traumatic impact of the intervention and extend the operability toward increasingly high-risk patients. Minimally invasive aortic valve replacement (AVR) has gradually been recognized as a less traumatic technique compared to median sternotomy, becoming first choice approach in numerous experienced centers. Herein we present our multidisciplinary minimally invasive approach for AVR, involving: (I) reduced chest incision; (II) rapid deployment AVR; (III) minimally invasive extracorporeal circulation system; and (IV) ultra fast track (UFT) anaesthetic management.
Keyphrases
- aortic valve replacement
- minimally invasive
- aortic valve
- aortic stenosis
- transcatheter aortic valve implantation
- ejection fraction
- transcatheter aortic valve replacement
- spinal cord injury
- robot assisted
- end stage renal disease
- randomized controlled trial
- chronic kidney disease
- newly diagnosed
- prognostic factors
- high resolution
- peritoneal dialysis
- loop mediated isothermal amplification
- heart failure
- coronary artery disease
- left ventricular
- quality improvement
- decision making
- atrial fibrillation
- quantum dots
- sensitive detection