title: Imaging and minimally invasive aortic valve replacement.
abstract: Cardiovascular imaging has been the most important tool allowing for innovation in cardiac surgery. There are now a variety of approaches available for treating aortic valve disease, including standard sternotomy, minimally invasive surgery, and percutaneous valve replacement. Minimally invasive cardiac surgery relies on maximizing exposure within a limited field of view. The complexity of this approach is increased as the relationship between the great vessels and the bony thorax varies between individuals. Ultimately, the success of minimally invasive surgery depends on appropriate choices regarding the type and location of the incision, cannulation approach, and cardioprotection strategy. These decisions are facilitated by preoperative imaging, which forms the focus of this review.
authors.affiliation: 1 Division of Cardiothoracic Surgery, University of Minnesota Health, Minneapolis, Minnesota, USA ; 2 Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Loor
authors.affiliation: 1 Division of Cardiothoracic Surgery, University of Minnesota Health, Minneapolis, Minnesota, USA ; 2 Department of Thoracic and Cardiovascular Surgery, Heart and Vascular Institute, Cleveland Clinic, Cleveland, Ohio, USA.
authors.forename: Eric E
authors.initials: EE
authors.lastname: Roselli
keywords: Aortic valve; computed tomography (CT); minimally invasive surgery; preoperative imaging; valve disease