Mini-AVR vs. TAVI: from guidelines to personalized medicine

August 18, 2022

Prof. Augusto D’Onofrio

MVT Aortic 2022, vol.2

– What’s less invasive than minimally-invasive surgery? Micro-invasive.

– The initial pros and cons of each approach are clear, but what about the outcomes?

– Don’t forget to implement Enhanced Recovery After cardiac Surgery (ERAS) protocols.

Prof. Ruggero De Paulis

MVT Aortic 2022, vol.1

– Many surgical options, very comprehensive, and very unbiased

– A redo-SAVR is not as simple as just “redoing” the procedure: beware of higher risk and more complex procedures

– Very clear 7-step removal process of the original valve prosthesis

-Pros and cons of different pledgets, suture techniques, valve positioning, valve sizing, and more

Prof. Bart Meuris

MVT Aortic 2022, vol.1

-Cosmesis vs clinical benefit? Cross-clamp times? Extra costs? Have you thought about these aspects before?

-What about less pain? Less blood loss? Shorter ICU stays? Lower rates of atrial fibrillation? Remember, there are always pros and cons.

-If combined procedures are necessary, minimally invasive can be a choice in experienced centers

Prof. Kocher – EACTS 2021

Dr. Marco Solinas

MVT Aortic 2021