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

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 becom...

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Bibliographic Details
Published in:Indian journal of thoracic and cardiovascular surgery 2022-04, Vol.38 (Suppl 1), p.171-182
Main Authors: Berretta, Paolo, Galeazzi, Michele, Cefarelli, Mariano, Alfonsi, Jacopo, De Angelis, Veronica, Pierri, Michele Danilo, Matteucci, Sacha M. L., Alessandroni, Eugenio, Zingaro, Carlo, Capestro, Filippo, D’Alfonso, Alessandro, Di Eusanio, Marco
Format: Article
Language:English
Subjects:
Cardiac Surgery
Medicine
Medicine & Public Health
Review
Review Article
Surgery
Thoracic Surgery
Vascular Surgery
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Summary: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.
ISSN:0970-9134
0973-7723
DOI:10.1007/s12055-021-01258-2