DTA

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Tesi etd-09242019-173413

Type of thesis
Master univ. II liv.
Author
GARGIULO, RAFFAELE
URN
etd-09242019-173413
Title
Minimally invasive approach to aortic root surgery
Course
Innovation in Cardiac Surgery: Advances in Minimally Invasive Therapeutics
Committee
relatore Prof. PASSINO, CLAUDIO
Tutor Dott. SOLINAS, MARCO
Keywords
  • mini-Bentall
  • minimally invasive cardiac surgery
  • valve-sparing
Exam session start date
;
Availability
completa
Abstract
The surgical treatment of aortic root diseases is traditionally performed through a median sternotomy. Aortic root replacement with a valved-conduit, either mechanical or biologic, and aortic root reconstruction with the reimplantation of the aortic valve are the most performed operations in the clinical practice. Minimally invasive approach to this kind of technically complex surgery has evolved from isolated aortic valve surgery and is growing in popularity, as the minimal access techniques are constantly refined. Minimally invasive aortic root surgery seems to be feasible and safe either through an upper sternotomy or through a right minithoracotomy; it is moreover associated, when compared with traditional surgery, with shortened cardiopulmonary bypass time, reduced rates of reoperations for bleeding, shorter intensive care unit and hospital length of stay, but the overall quality of all evidence is very low. More consistent and randomized data are required, but minimally invasive procedures can be already considered as a valid alternative to traditional aortic root surgery.
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