Less invasive aortic valve surgery: rationale and technique

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Ressource 1Download: serval:BIB_A32CB11391BA.P001 (535.08 [Ko])
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It was possible to publish this article open access thanks to a Swiss National Licence with the publisher.
Serval ID
serval:BIB_A32CB11391BA
Type
Article: article from journal or magazin.
Publication sub-type
Review (review): journal as complete as possible of one specific subject, written based on exhaustive analyses from published work.
Collection
Publications
Institution
Title
Less invasive aortic valve surgery: rationale and technique
Journal
European Journal of Cardio-Thoracic Surgery
Author(s)
von Segesser  L. K., Westaby  S., Pomar  J., Loisance  D., Groscurth  P., Turina  M.
ISSN
1010-7940
Publication state
Published
Issued date
06/1999
Peer-reviewed
Oui
Volume
15
Number
6
Pages
781-5
Notes
Journal Article
Review --- Old month value: Jun
Abstract
The unquestionable aims for a less invasive operations are less morbidity, less discomfort, and a reduced hospital stay through an operation which proves equally durable to the conventional approach. Such an operation must be carried out without further risk to the patient or increased difficulty for the surgeon. Whilst most definitions of less invasive coronary surgery include the phrase without cardiopulmonary bypass, this is clearly not yet possible in valve surgery. In valve surgery, the definition of less invasive relates only to the size of incision and rate of recovery. As a result of the discussions during the Heart Lab International Workshop on video-assisted heart surgery in Zurich, October 22-25, 1998, the following conclusions emerged. The partial upper sternotomy with J- or L- shaped extension to the right is the preferred approach for minimally invasive aortic valve surgery. Other methods which sacrify the internal thoracic arteries, open pleural cavities or predispose to long hernia are less satisfactory. A detailed description of the technique proposed is given and its indications and contraindications are discussed.
Keywords
Aortic Valve/*surgery Cardiac Surgical Procedures/*methods Humans Sternum/surgery Surgical Procedures, Minimally Invasive Video Recording
Pubmed
Web of science
Open Access
Yes
Create date
14/02/2008 14:16
Last modification date
25/09/2019 6:10
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