Mini-Sternotomy AVR

JANS Article

Right Anterior Minithoracotomy Approach for Aortic Valve Replacement

November 7, 2024 | Jessica Luc

Aortic stenosis is the most prevalent valvular heart condition necessitating surgical intervention, with full sternotomy (FS) traditionally being the standard approach for surgical aortic valve replacement (SAVR). However, many patients undergoing AVR are high-risk candidates,...

JANS Article

Antegrade Cardioplegia Decannulation Made Simple With the Cor-Knot System: Technique and Tips After 20 Consecutive and Controlled Patients

September 12, 2020 | Jessica Luc

In this article, the authors demonstrate a novel technique of antegrade cardioplegia decannulation using the Cor-Knot system with phenomenal video and description on their case series. This technique has great...

JANS Article

Early Surgery or Conservative Care for Asymptomatic Aortic Stenosis

January 8, 2020 | Aristotle ProtopapasGold Commentor

A medium size RCT with encouraging surgical outcomes in the era of TAVI expansion…..

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JANS Article

World’s First Randomized Study of Mini-Sternotomy AVR Versus Conventional AVR: 271 Patients and the Results Might Surprise You

May 16, 2019 | Joel DunningGold ContributorSilver Commentor

I believe that this is the world’s first randomized controlled trial of mini aortic valve replacement (AVR) versus full sternotomy AVR. It is a very well-conducted study where the surgeon...

JANS Article

Informed Shared Decisions for Patients With Aortic Stenosis

May 2, 2019 | Aristotle ProtopapasGold Commentor

The overarching, free to read under terms, of the TAVR mini-compendium of this week: the most complex question remains “what is a reasonable expectation of a stakeholder on outcomes of...

Video

Minimally Invasive Versus Open Surgery for Aortic Valve Replacement

February 28, 2019 | Bil Kirmani

Bil Kirmani of the Liverpool Heart and Chest Hospital in the UK compares minimally invasive and open surgical approaches for aortic valve replacement. He presents a review comparing full to...

JANS Article

MiniStern Trial: A Randomised Trial Comparing Ministernotomy to Full Median Sternotomy for Aortic Valve Replacement

March 19, 2018 | Aristotle ProtopapasGold Commentor

A medium-size RCT comparing full sternotomy to limited sternotomy for conventional aortic valve replacement, presented at the SCTS Annual Meeting in Glasgow. The 7-10% one year attrition rate seems quite...

JANS Article

Use of an Automated Suture Fastening Device in Minimally Invasive Aortic Valve Replacement

March 3, 2018 | Arie BlitzBronze ContributorSilver Commentor

The authors retrospectively reviewed their minimally invasive aortic valve replacement experience over a three-year period to assess the outcomes in patients undergoing conventional knot tying (n = 39) versus automated...

Video

Upper Ministernotomy, Aortic Valve Replacement, and Ascending Aortic Replacement

January 22, 2018 | Vincent GaudianiGold ContributorBronze Commentor…

This video demonstrates the technique for performing aortic operations through a ministernotomy. The authors discuss the details of getting a good view through the ministernotomy, technique for working through a...

JANS Article

Functional Survival: Alive and Better

January 8, 2018 | Aristotle ProtopapasGold Commentor

A very brief editorial on frailty as a risk factor. In the time of weighing transcatheter interventions versus variable access surgical options, quantifying this physiological concept is of major importance...

JANS Article

Valvular Regurgitation After Implantation Of Prostheses Secured With Cor-Knot Automated Fasteners

November 28, 2016 | Arie BlitzBronze ContributorSilver Commentor

An extremely important journal article comprised of two case reports involving valve perforation and insufficiency following use of the Cor-Knot Automated Fastener (LSI Solutions, Victor, NY, USA) during valve replacement....

Video

The Future of Aortic Stenosis Treatment: Sternotomy, Minimally Invasive, or TAVR?

July 28, 2016 | Tom C. NguyenBronze Contributor…

Filmed at the 2016 STS Annual Meeting in Phoenix, Arizona, a group of experts discuss the future of aortic stenosis treatment. Tom Nguyen of the University of Texas, Houston, is...

JANS Article

Michael Mack demonstrates his technique for Mini AVR cannulation

November 24, 2015 | Joel DunningGold ContributorSilver Commentor

A nice short demonstration from Michael Mack of his cannulation technique for minimally invasive AVR with femoral vein cannulation

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