ONE-POINT ADVICE: The Limitations and Potential of MICS During Aortic Valvuloplasty

  • Toshiaki ItoEmail author


Nowadays, when we consider the favorable long-term outcomes of biological valves, we automatically focus on young patients when discussing the main indications for aortic valvuloplasty (AVP). Many young patients, and particularly women, find the concept of minimally invasive cardiac surgery (MICS) desirable from a cosmetic perspective. When compared to midline incisions, MICS does not reduce the rates of mortality or major complications, so the main reasons for performing MICS are for cosmetic reasons and the need for early return to daily activities. As a rule, it is therefore desirable to determine the indications carefully.


  1. 1.
    Furukawa N, Kuss O, Aboud A, Schönbrodt M, Renner A, Meibodi KH, et al. Ministernotomy versus conventional sternotomy for aortic valve replacement: matched propensity score analysis of 808 patients. Eur J Cardiothorac Surg. 2014;46:221–6.CrossRefGoogle Scholar
  2. 2.
    Cosgrove DM 3rd, Sabik JF. Minimally invasive approach for aortic valve operations. Ann Thorac Surg. 1996;62:596–7.CrossRefGoogle Scholar
  3. 3.
    Glauber M, Miceli A, Gilmanov D, Ferrarini M, Bevilacqua S, Farneti PA, et al. Right anterior minithoracotomy versus conventional aortic valve replacement: a propensity score matched study. J Thorac Cardiovasc Surg. 2013;145:1222–6.CrossRefGoogle Scholar
  4. 4.
    Ito T, Maekawa A, Hoshino S, Hayashi Y. Right infraaxillary thoracotomy for minimally invasive aortic valve replacement. Ann Thorac Surg. 2013;96:715–7.CrossRefGoogle Scholar
  5. 5.
    de Kerchove L, Glineur D, Poncelet A, Boodhwani M, Rubay J, Dhoore W, et al. Repair of aortic leaflet prolapse: a ten-year experience. Eur J Cardiothorac Surg. 2008;34:785–91.CrossRefGoogle Scholar
  6. 6.
    Dave HH, Comber M, Solinger T, Bettex D, Dodge-Khatami A, Prêtre R. Mid-term results of right axillary incision for the repair of a wide range of congenital cardiac defects. Eur J Cardiothorac Surg. 2009;35:864–9.CrossRefGoogle Scholar

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© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Department of Cardiovascular SurgeryJapanese Red Cross Nagoya First HospitalAichiJapan

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