Ivaniuk A. Minimally invasive interventions in correction of aortic valve diseases

Thesis offers a new solution for crucial task of cardiovascular surgeries namely short-term results improvement of aortic valve diseases surgeries by operational trauma minimization. Conventional sternotomy has such disadvantages like long-term pain syndrome in surgical wound area and scaring as a cosmetic effect, which is an inhibitive factor, especially for women. A wide range of minimally invasive approaches is offered to overcome and minimize the risks, which attribute to conventional sternotomy, as well as postsurgical trauma. On the basis of analyzed literature it has been decided, that J-shaped partial sternotomy is the optimal approach for correction of aortic valve diseases, and it is the subject of the present study. Literature analysis of the recent years definitely proves that, despite continuously increasing use of MIAVR for surgical correction of aortic valve diseases, studies of such approach use regulations, starting from indications and up to its performance and efficiency assessment, are still at the initial stage.