Aortic valve replacement requires the use of cardiopulmonary bypass, a machine that does the
work of the heart and lungs and allows the surgeon to operate on the heart. The heart is stopped
(while the machine does the work of the heart) and the operation involves opening the aorta (the
large blood vessel on the top of your heart), removing the diseased aortic valve and then sewing
in a new. The aorta is then closed and the heart is restarted. There are different approaches to
performing this surgery.
***It is very important to remember that even though there are three different options of
surgical approach, they may not be the best option for you. Your surgeon will talk to you about
the different options and advise you as to which one is the best for you. ***
Minimally invasive approach:
When it comes to "Minimally Invasive" approaches there are
two...
Right Mini Thoracotomy approach: A 3 inch incision is
made horizontally approximately between the clavicle
and the nipple, just to the right of the breast bone.
Mini Sternotomy approach: An approximate 4 inch incision
is made through the upper half of the breastbone.
Groin Cannulation: It is important to note that minimally
invasive surgery requires a small incision on your groin to place the patient on heart lung
machine. This allows the heart to rest and gives the surgeon access to the heart to perform the
necessary operation.
Advantages of Minimally Invasive Heart Surgery are
Shorter recovery period and often faster discharge from the hospital
Fewer restrictions including driving
Lower risk of wound infections
Less pain
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