Minimally Invasive Aortic Surgery
Treatments | Aortic Valve Repair and Replacement | Endovascular Stent Graft and Hybrid Procedures | Homograft | Minimally Invasive Aortic Surgery | Ross Procedure | Transcatheter Valve Therapies
Traditional heart surgery requires the surgeon to "split the breast bone." Sternal sparing approaches use alternative incisions through which to perform surgery. These include a mini-thoractomy (though the rib spaces) and a hemi-sternotomy (a partial incision through the breast bone). Minimally invasive surgery has many benefits, including the following:
Minimally invasive valve surgery is a breakthrough approach to treating heart valve disease. Rather than making a large incision through the breastbone (sternum) to gain access to the heart, this method uses sophisticated instruments to perform the surgery through a smaller incision at the side of the chest.
UCMC cardiac surgeons, who are leaders in the field of minimally invasive valvular heart surgery, have performed more of these procedures than surgeons at any other hospital in the region. Minimally invasive valve surgery is a highly advanced technique that requires special expertise and equipment. Only select hospitals offer this approach.
Endovascular stent grafts is a treatment for aneurysms of the descending (thoracic and abdominal) aorta. This procedure requires only small incisions in the groin. With the use of x-ray guidance and specially-designed instruments, the aneurysm can be repaired by inserting a tube, called a stent-graft, inside the aorta.
In this minimally invasive procedure, the stent graft (comprised of a layer of impermeable reinforcement material enclosed by a self-expanding metal support mesh) is placed across the aneurysm site. To achieve stent graft placement, the surgeon inserts a catheter through the femoral artery in the groin. The stent graft is then delivered through the catheter in a collapsed state and deployed at the site of the aneurysm. The device replaces and reinforces the diseased aortic wall, ensuring continuity of blood flow.
The potential benefits of the procedure include greatly reduced risk, a shorter hospital stay, and a more rapid recovery.
Percutaneous and catheter based procedures
Percutaneous and catheter based procedures are available for patients with aortic valve stenosis who are not candidates for surgical replacement.
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