title: Minimally invasive reoperative aortic valve replacement.
abstract: The operative mortality associated with repeat heart valve surgery is supposedly higher than the mortality associated with the primary operation. However, controversy still surrounds the risk factors and optimal surgical approach for patients requiring repeat cardiac surgery, particularly for those requiring aortic valve replacements (AVR). While the standard approach generally utilizes full sternotomy and peripheral cannulation, alternative approaches such as minimally invasive sternotomy may play an increasingly important role in this field. This study compares the advantages and disadvantages of a minimally invasive approach in redo AVR with the standard approach, highlighting difficulties and potential solutions.
authors.affiliation: 1 Department of Cardiothoracic and Vascular Surgery, Maria Cecilia Hospital, GVM Care & Research, ES Health Science Foundation, Cotignola, Italy ; 2 ES Health Science Foundation, Cotignola, Italy.
authors.forename: Elisa
authors.initials: E
authors.lastname: Mikus
authors.affiliation: 1 Department of Cardiothoracic and Vascular Surgery, Maria Cecilia Hospital, GVM Care & Research, ES Health Science Foundation, Cotignola, Italy ; 2 ES Health Science Foundation, Cotignola, Italy.
authors.forename: Simone
authors.initials: S
authors.lastname: Calvi
authors.affiliation: 1 Department of Cardiothoracic and Vascular Surgery, Maria Cecilia Hospital, GVM Care & Research, ES Health Science Foundation, Cotignola, Italy ; 2 ES Health Science Foundation, Cotignola, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Tripodi
authors.affiliation: 1 Department of Cardiothoracic and Vascular Surgery, Maria Cecilia Hospital, GVM Care & Research, ES Health Science Foundation, Cotignola, Italy ; 2 ES Health Science Foundation, Cotignola, Italy.
authors.forename: Luca
authors.initials: L
authors.lastname: Dozza
authors.affiliation: 1 Department of Cardiothoracic and Vascular Surgery, Maria Cecilia Hospital, GVM Care & Research, ES Health Science Foundation, Cotignola, Italy ; 2 ES Health Science Foundation, Cotignola, Italy.
authors.forename: Mauro
authors.initials: M
authors.lastname: Lamarra
authors.affiliation: 1 Department of Cardiothoracic and Vascular Surgery, Maria Cecilia Hospital, GVM Care & Research, ES Health Science Foundation, Cotignola, Italy ; 2 ES Health Science Foundation, Cotignola, Italy.
authors.forename: Mauro
authors.initials: M
authors.lastname: Del Giglio
keywords: Minimally invasive surgery; aortic valve reoperation; unclamped patent internal mammary artery