Abstract：
This study elucidates the efficacy and outcomes of a minimally invasive aortic valve replacement via a right anterior mini-thoracotomy, emphasizing its potential to minimize surgical trauma and expedite recovery while maintaining procedural integrity comparable to that of a traditional full sternotomy. This video tutorial demonstrates a successful aortic valve replacement procedure using the right anterior mini-thoracotomy approach, characterized by the absence of sutureless valves and specialized instruments. The detailed surgical procedure includes specific steps to optimize visibility and access through strategic incisions and rib dislocations, adhering to \"the box principle\" for effective exposure of the aortic valve. This video tutorial suggests that a right anterior mini-thoracotomy is a viable, cost-effective alternative to a conventional sternotomy for aortic valve replacement, offering significant patient benefits without compromising long-term valve function or safety. The broader implications for patient selection and surgical techniques highlight the need for meticulous preoperative planning and anatomical assessment to maximize the potential of a right anterior mini-thoracotomy in clinical practice.
摘要：
这项研究阐明了通过右前小切口微创主动脉瓣置换术的疗效和结果。强调它的潜力，以尽量减少手术创伤和加快恢复，同时保持程序的完整性，可与传统的全胸骨切开术。本视频教程演示了一个成功的主动脉瓣置换手术使用右前小开胸手术，其特点是缺乏无缝合的阀门和专门的仪器。详细的手术过程包括通过战略切口和肋骨脱位优化可见性和进入的具体步骤，坚持“盒子原理”有效暴露主动脉瓣。这个视频教程表明，右前微型开胸手术是可行的，具有成本效益的替代常规胸骨切开术的主动脉瓣置换术，提供显著的病人的好处，而不影响长期的阀门功能或安全。对患者选择和手术技术的更广泛影响突出了需要细致的术前计划和解剖学评估，以最大程度地发挥右前小切口在临床实践中的潜力。
