Key result
Minimally invasive aortic valve surgery in high-risk patients provides similar operative mortality to standard sternotomy, with less bleeding, fewer transfusions, and shorter hospital stays.
Why the study?
Does minimally invasive aortic valve operation improve outcomes compared to standard sternotomy in high-risk patients?
Does minimally invasive aortic valve operation improve outcomes compared to standard sternotomy in high-risk patients?
Minimally invasive aortic valve surgery is a well-tolerated and efficient option for high-risk patients, offering lower complication rates and shorter hospital stays compared to standard sternotomy.
Should not yet change practice; leaves open need for randomized confirmation in high-risk aortic valve patients.
PURPOSE OF REVIEW: Minimally invasive techniques are increasingly important in aortic valve surgery. The aim of this publication is to review our experience and recent literature to assess and present the current 'state-of-the-art'-role of minimally invasive aortic valve operations for high-risk patients. RECENT FINDINGS: Minimally invasive aortic valve operation for high-risk patients (e.g. patients with left ventricular dysfunction, reoperation, elderly, multimorbid patients, etc.) can be performed with an operative mortality similar to standard sternotomy approach. Less postoperative bleeding, fewer blood transfusions, better cosmesis, lower ICU and in-hospital stays as well as the absence of sternal wound infection are the main advantages of this technique. SUMMARY: Minimally invasive aortic valve surgery has evolved into a well tolerated, efficient surgical treatment option in experienced centers, providing greater patient satisfaction and lower complication rates in high-risk patients.
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Schmitto et al. (2011) conducted a review in Aortic valve disease in high-risk patients. Minimally invasive aortic valve replacement vs. Standard sternotomy approach was evaluated on Operative mortality and postoperative complications. Minimally invasive aortic valve surgery in high-risk patients provides similar operative mortality to standard sternotomy, with less bleeding, fewer transfusions, and shorter hospital stays.
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