Abstract
Minimally Invasive Aortic Valve Replacement is not just a matter of the
incision, but it should be rather considered as a holistic approach to
minimize surgical trauma: our technique aims to reproduce the
gold-standard conventional procedure in terms of safety, effectiveness
and operative time through a small and different incision; furthermore
with a thorough optimization of the procedure, the surgical time can be
at least equal to the classic approach. We introduced our approach about
10 years ago; after more than 1000 aortic valve replacement via right
anterior mini-thoracotomy, we developed with some tips and tricks in the
attempt of turning this technique into our choice approach. Indeed, it
is our belief that a highly standardized technique is pivotal to perform
a safe and valuable procedure.