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Minimally Invasive Techniques are Safer Than Median Sternotomy

Thursday, December 13, 2018

Doenst T. Minimally Invasive Techniques are Safer Than Median Sternotomy. December 2018. doi:10.25373/ctsnet.7430684.

Torsten Doenst of the University Hospital Jena in Germany presents the argument for minimally invasive techniques over median sternotomy in the treatment of mitral valve disease.

This presentation was originally given during the SCTS Ionescu University program at the 2018 Annual Meeting of the Society for Cardiothoracic Surgery in Great Britain and Ireland. This content is published with the permission of SCTS. Please click here for more information on SCTS educational programs.

Enoch Akowuah sets the scene for the debate and discusses key aspects of the UK Mini Mitral Trial here.

Prakash Punjabi presents the argument for median sternotomy here.


Great debate, I have always thought that mini MVR is a good operation in selected patients with limited but obvious prolapse and "skinny shallow chests". In addition I have found an uncontrasted ct scan of the chest to be invaluable as in pts who have had lobectomies which tends to displace the mediastinum one way or the other. Just a thought?

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