This paper provides technical considerations and details for performing minimally invasive aortic valve replacement using the Vienna upper-hemisternotomy approach.
Technical description supports upper-hemisternotomy feasibility in selected AVR cases; leaves open need for comparative outcome data.
Minimally invasive approaches for aortic valve replacement are increasingly used in current clinical practice. Herein, we provide insights into our upper-hemisternotomy approach with specific technical considerations and details.
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Kocher et al. (2018) studied this question.
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