Minimally invasive approach: is this the future of aortic surgery?

Paolo Berretta1, Michele Galeazzi1, Mariano Cefarelli1, Jacopo Alfonsi1, Veronica De Angelis1, Michele Danilo Pierri1, Sacha M. L. Matteucci1, Eugenio Alessandroni1, Carlo Zingaro1, Filippo Capestro1, Alessandro D’Alfonso1, Marco Di Eusanio1
1Cardiac Surgery Unit, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona, Italy

Tóm tắt

Median sternotomy incision has shown to be a safe and efficacious approach in patients who require thoracic aortic interventions and still represents the gold-standard access. Nevertheless, over the last decade, less invasive techniques have gained wider clinical application in cardiac surgery becoming the first-choice approach to treat heart valve diseases, in experienced centers. The popularization of less invasive techniques coupled with an increased patient demand for less invasive therapies has motivated aortic surgeons to apply minimally invasive approaches to more challenging procedures, such as aortic root replacement and arch repair. However, technical demands and the paucity of available clinical data have still limited the widespread adoption of minimally invasive thoracic aortic interventions. This review aimed to assess and comment on the surgical techniques and the current evidence on mini thoracic aortic surgery.

Tài liệu tham khảo

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