What Exactly Is Minimally Invasive?

Holubec, Tomáš; Salem, Razan; Walther, Thomas

doi:10.1016/j.athoracsur.2022.06.005

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…Only about one-third of all cardiac surgery procedures are currently performed via small skin incisions (minithoracotomy and ministernotomy). However, the invasiveness of any cardiosurgical procedure cannot only be defined by access (skin incision) but also by the use of cardiopulmonary bypass with potential cardiac arrest and heart valve repair or valve-sparing operation ( 1 ). This positive trend continues to evolve, notably with the development of increasingly efficient endoscopic, robotic, and transcatheter procedures ( 2 – 4 ).…”

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confidence: 99%

Editorial: Minimally invasive cardiac surgery: state of the art and current challenges

Holubec,

Dahle,

Bonaros

2023

Front. Cardiovasc. Med.

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confidence: 99%

Editorial: Minimally invasive cardiac surgery: state of the art and current challenges

Holubec,

Dahle,

Bonaros

2023

Front. Cardiovasc. Med.

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“…The MICS has been already very well established in mitral valve and AV and/or root replacement surgery. The invasiveness of any cardiosurgical procedure is defined by the following factors: access, use of cardiopulmonary bypass, and even valve-sparing can be considered another factor of reduced invasiveness ( 4 ). Therefore, minimally invasive David procedure via an upper ministernotomy is an excellent example of MICS.…”

Section: Commentmentioning

confidence: 99%

David procedure through an upper ministernotomy

Holubec¹,

Al‐Obaidi²,

Walther³

et al. 2023

Ann Cardiothorac Surg

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An asymptomatic 58-year-old patient was referred to our department for aortic root aneurysm of 51 mm with progression of 2 mm in one year. Preoperative evaluation using a computed tomography (CT) scan confirmed the aortic root aneurysm and ruled out any coronary artery disease. A transthoracic echocardiography showed a tricuspid aortic valve (AV) with moderate regurgitation. Valve-sparing aortic root replacement (VSARR) with AV reimplantation (David procedure) (1) was therefore scheduled. In standard cases, we perform the David procedure in minimally invasive [minimally invasive cardiac surgery (MICS)] fashion via upper ministernotomy into the third right intercostal space (ICS) with percutaneous cannulation of the right femoral vein. Surgical techniques PreparationAfter induction of general anesthesia and standard anesthesiologic preparation, the patient is placed in supine position, prepped and draped with both groins exposed.

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What Exactly Is Minimally Invasive?

Cited by 2 publications

References 3 publications

Editorial: Minimally invasive cardiac surgery: state of the art and current challenges

Editorial: Minimally invasive cardiac surgery: state of the art and current challenges

David procedure through an upper ministernotomy

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