What are the limitations of MIAVR?

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MIS can be more technically demanding than FS due to:1 Learn more ...

  • Deeper operative field
  • Limited working space for exposure and implantation of the valve
  • New equipment and methods
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MIS is associated with longer cross-clamp times and longer cardiopulmonary bypass times, which can lead to increased mortality and complications2,3

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Therefore MIS is associated with a learning curve4,5

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MIAVR provides benefits to patients with obesity and COPD

References 

AVR, Aortic Valve Replacement; FS, Full Sternotomy; MIS, Minimally Invasive Surgery; MIAVR, Minimally Invasive Aortic Valve Replacement; RDAVR, Rapid Deployment* Aortic Valve Replacement

* Simplified implantation through reduced suture steps

  1. Glauber M et al. Ann Cardiothorac Surg. 2015;4(1):26–32.
  2. Al-Sarraf N et al. Int J of Surgery. 2011;9:104–109.
  3. Salis S et al. J Cardiothorac Vasc Anesth. 2008;22:814–822.
  4. Brown ML et al. J Thorac Cardiovasc Surg. 2009;137:670–679.
  5. Phan K et al. Ann Thorac Surg. 2014;98:1499–511.

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