title: Minimally invasive aortic valve surgery.
abstract: Aortic valve disease is a prevalent disorder that affects approximately 2% of the general adult population. Surgical aortic valve replacement is the gold standard treatment for symptomatic patients. This treatment has demonstrably proven to be both safe and effective. Over the last few decades, in an attempt to reduce surgical trauma, different minimally invasive approaches for aortic valve replacement have been developed and are now being increasingly utilized. A narrative review of the literature was carried out to describe the surgical techniques for minimally invasive aortic valve surgery and report the results from different experienced centers. Minimally invasive aortic valve replacement is associated with low perioperative morbidity, mortality and a low conversion rate to full sternotomy. Long-term survival appears to be at least comparable to that reported for conventional full sternotomy. Minimally invasive aortic valve surgery, either with a partial upper sternotomy or a right anterior minithoracotomy provides early- and long-term benefits. Given these benefits, it may be considered the standard of care for isolated aortic valve disease.
authors: Department of Cardiovascular Surgery, GVM Care and Research, Maria Eleonora Hospital, Palermo, Italy.
authors: Sebastiano
authors: S
authors: Castrovinci
authors: Department of Cardiothoracic Surgery, St Vincent's Hospital, Sydney, Australia.
authors: Sam
authors: S
authors: Emmanuel
authors: Department of Cardiovascular Surgery, GVM Care and Research, Anthea Hospital, Bari, Italy; Department of Cardiothoracic Surgery, NHLI, Imperial College, London, UK.
authors: Marco
authors: M
authors: Moscarelli
authors: Department of Cardiovascular Surgery, S. Orsola-Malpighi Hospital, Alma Mater Studiorum, University of Bologna, Bologna, Italy.
authors: Giacomo
authors: G
authors: Murana
authors: Cardiac Department, Ospedale Buccheri La Ferla, Fatebenefratelli, Palermo, Italy.
authors: Giuseppa
authors: G
authors: Caccamo
authors: Department of Cardiology, Policlinico "P. Giaccone", University of Palermo, Palermo, Italy.
authors: Emanuela Clara
authors: EC
authors: Bertolino
authors: Department of Cardiovascular Surgery, GVM Care and Research, Anthea Hospital, Bari, Italy.
authors: Giuseppe
authors: G
authors: Nasso
authors: Department of Cardiovascular Surgery, GVM Care and Research, Anthea Hospital, Bari, Italy.
authors: Giuseppe
authors: G
authors: Speziale
authors: Department of Cardiovascular Surgery, GVM Care and Research, Maria Eleonora Hospital, Palermo, Italy; Department of Surgery and Cancer, University of Palermo, Palermo, Italy.
authors: Khalil
authors: K
authors: Fattouch
keywords: Aortic valve replacement; Aortic valve stenosis; Minimally invasive; Outcomes