Minimally invasive aortic valve replacement in high risk patient groups

Daniel Fudulu, Harriet Lewis, Umberto Benedetto, Massimo Caputo, Gianni D Angelini, Hunaid Vohra

Research output: Contribution to journalArticle (Academic Journal)peer-review

19 Citations (Scopus)
286 Downloads (Pure)


Minimally invasive aortic valve replacement (AVR) aims to preserve the sternal integrity and improve postoperative outcomes. In low risk patients, this technique can be achieved with comparable mortality to the conventional approach and there is evidence of possible reduction in intensive care and hospital length of stay, transfusion requirement, renal dysfunction, improved respiratory function and increased patient satisfaction. In this review, we aim to asses if these benefits can be transferred to the high risk patient groups. We therefore, discuss the available evidence for the following high risk groups: elderly patients, re-operative surgery, poor lung function, pulmonary hypertension, obesity, concomitant procedures and high risk score cohorts
Original languageEnglish
Number of pages25
JournalJournal of Thoracic Disease
Publication statusPublished - 11 Jun 2017

Structured keywords

  • Centre for Surgical Research


  • Minimally invasive surgical procedures
  • aortic valve
  • elderly
  • reoperation
  • left ventricular (LV) dysfunction


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