Minimally invasive aortic valve replacement in high risk patient groups

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Abstract

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
DOIs
Publication statusPublished - 11 Jun 2017

Structured keywords

  • Centre for Surgical Research

Keywords

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

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