Vol. 26 No. 3 (2022)
REVIEWS

State-of-the-art surgical approaches in minimally invasive aortic valve surgery

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  • R.N. Komarov,
  • O.O. Ognev,
  • A.M. Ismailbaev,
  • S.V. Cherniavskii,
  • A.N. Dzyundzya,
  • M.V. Lenkovets
R.N. Komarov
Sechenov University
O.O. Ognev
Sechenov University
Bio
A.M. Ismailbaev
Sechenov University
S.V. Cherniavskii
Sechenov University
A.N. Dzyundzya
Sechenov University
M.V. Lenkovets
Sechenov University
DOI: https://doi.org/10.21688/1681-3472-2022-3-31-40

Published 2022-09-30

Keywords

  • Aortic Valve,
  • Minimally Invasive Surgical Procedures,
  • Pericardium,
  • Sternotomy,
  • Thoracotomy

How to Cite

Komarov, R., Ognev, O., Ismailbaev, A., Cherniavskii, S., Dzyundzya, A., & Lenkovets, M. (2022). State-of-the-art surgical approaches in minimally invasive aortic valve surgery. Patologiya Krovoobrashcheniya I Kardiokhirurgiya, 26(3), 31–40. https://doi.org/10.21688/1681-3472-2022-3-31-40

Copyright (c) 2022 Komarov R.N., Ognev O.O., Ismailbaev A.M., Cherniavskii S.V., Dzyundzya A.N., Lenkovets M.V.

Creative Commons License

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Over the past 30 years, minimally invasive cardiac surgery has progressed from single case reports of operations via thoracotomy and various procedures of partial sternotomy to routine use of mini-accesses as well as fully thoracoscopic and robotic techniques. It is aortic valve surgery that implemented minimally invasive technologies most widely. The objective of this systematic review is to present state-of-the-art approaches to minimally invasive aortic valve surgery including patient selection criteria as well as evolution and state-of-the-art of the main surgical approaches. The search strategy covered international databases, such as PubMed, Scopus, Embase, and Web of Science. We used following queries: ‘minimally invasive surgery of the aortic valve’, ‘alternative surgical approaches in aortic valve surgery’, ‘minimally invasive autologous pericardium neocuspidization’. Selection of patients for minimally invasive aortic interventions should consider both the anatomy of the mediastinum and the aortic root as well as cardiac and other comorbidities. Minimally invasive approaches in aortic valve surgery include thoracotomy, partial sternotomy, and endoscopic techniques. Of particular interest is minimally invasive neocuspidization with autologous pericardium. Partial sternotomies are the most routinely used approaches in aortic valve surgery. Their cumulative outcomes allow to compare their efficacy and safety with those of classic sternotomy access within large meta-analyses. Minimally invasive autopericardial neocuspidization and endoscopic interventions on the aortic valve require further surgical experience and clinical outcomes.

Received 17 January 2022. Revised 6 April 2022. Accepted 8 April 2022.

Funding: The study did not have sponsorship.

Conflict of interest: Authors declare no conflict of interest.

Contribution of the authors
Conception and study design: R.N. Komarov, S.V. Cherniavskii, A.N. Dzyundzya
Drafting the article: O.O. Ognev, M.V. Lenkovets
Critical revision of the article: A.M. Ismailbaev
Final approval of the version to be published: R.N. Komarov, O.O. Ognev, A.M. Ismailbaev, S.V. Cherniavskii,
A.N. Dzyundzya, M.V. Lenkovets

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