Key result
Minimally invasive AVR provides demonstrable benefits particularly in high-risk comorbid patients.
Why the study?
Minimally invasive aortic valve replacement has limited uptake partly due to lack of perceived evidence of benefits beyond cosmetic appearance.
Does minimally invasive aortic valve replacement confer benefits in patients requiring aortic valve replacement?
Does minimally invasive aortic valve replacement confer benefits in patients requiring aortic valve replacement?
Minimally invasive aortic valve replacement may offer demonstrable benefits beyond cosmetic appearance, especially in high-risk patients with comorbidities.
May support minimally invasive AVR in high-risk patients; leaves open need for randomized confirmation.
Minimally invasive aortic valve replacement has been used for more than 20 years, but its uptake has been limited. The volumes have increased steadily over the last 10 years, but it is still not regarded as a mainstream procedure. The issue, to some extent, is due to the lack of perceived evidence that minimal access incisions confer any benefit other than cosmetic appearance. In this article, the current literature on minimally invasive aortic valve replacement is reviewed, and it is concluded that benefits are demonstrable, particularly in higher risk, comorbid settings.
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Young et al. (2018) conducted a review in Aortic valve disease requiring replacement. Minimally invasive aortic valve replacement was evaluated. A review of the current literature indicates that minimally invasive aortic valve replacement provides demonstrable benefits, particularly in higher risk, comorbid settings.
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