Can Aortic Valve Replacement Be Performed Using the Underarm (Minimally Invasive) Approach?
Yes, aortic valve replacement can be performed using a minimally invasive underarm (axillary) approach. This type of surgery involves smaller incisions and causes less tissue damage compared to traditional open-heart surgery. As a result, patients may experience a shorter recovery time and reduced post-operative pain.
How is Minimally Invasive (Underarm) Aortic Valve Replacement Performed?
Minimally invasive aortic valve replacement is typically carried out through a small incision under the right armpit or the side of the chest. Unlike traditional surgery, this method avoids cutting through the breastbone. Instead, the ribs are spread apart to access the heart.
Here are the steps involved:
- Small Incision: The surgeon makes a small incision either under the armpit or at the side of the chest. This incision is significantly smaller than the large one made in traditional open-heart surgery, which is the first key advantage of this approach.
- Valve Replacement: The diseased aortic valve is removed, and a new valve is implanted. This replacement valve can be mechanical, biological, or donated from a human donor.
- Closure and Recovery: After the procedure is complete, the incision is closed, and the patient begins the recovery process.
Advantages of Minimally Invasive (Underarm) Aortic Valve Replacement:
- Smaller Incisions: The incisions made are much smaller compared to those in traditional open-heart surgery.
- Less Pain: Due to smaller incisions and reduced tissue damage, post-operative pain is usually less intense.
- Shorter Recovery Time: Since the surgery is less invasive, patients can recover faster and return to their daily activities sooner.
- Reduced Risk of Bleeding and Infection: Smaller incisions and less tissue trauma can lower the risk of complications like bleeding and infection.
Who is a Good Candidate?
Minimally invasive aortic valve replacement is suitable for many patients with aortic valve disease. If you have other health conditions, your cardiovascular surgeon will evaluate the best treatment option for your specific case.
Age and Overall Health: Age is not a limiting factor for this type of surgery. In fact, since the healing process of the breastbone is slower in older patients, minimally invasive procedures can be an excellent option for elderly individuals as well.
In conclusion, aortic valve replacement can be performed using a minimally invasive underarm approach, offering many benefits. However, since every patient’s condition is different, it’s essential to discuss with your cardiovascular surgeon whether this method is right for you.
