Table 2. Considerations for incision choice in aortic valve surgery.
Incision | Common indication | Selective indication |
---|---|---|
Mini-thoracotomy | Isolated aortic valve surgery | Root enlargement |
Upper hemisternotomy | Isolated aortic valve surgery | Root replacement |
Root enlargement | Mitral valve surgery | |
Ascending aortic repair | Tricuspid valve surgery | |
Hemi-arch replacement | Pulmonary vein isolation | |
Atrial appendage clip | Right coronary bypass | |
Sternotomy | Valve sparing root operation | Severe aortic calcification |
Total arch replacement | Mitral annular calcification | |
Coronary artery bypass | ||
Reoperation | ||
Endocarditis |