Abstract
The adoption of minimally invasive approaches to cardiac surgery allow for decreased perioperative morbidity without any change to the efficacy of therapy. A growing body of literature has demonstrated decreased ICU length of stay, decreased transfusion requirements and shortened hospitalizations without increases in short or long term mortality when compared to conventional approaches to cardiac surgery. Patient selection is of critical importance as these procedures are paired with increased procedural duration, longer aortic cross clamp times and increased technical difficulty. The use of a minimally invasive approach requires a careful analysis of risks and benefits and deciding factors should include the right procedure by the right surgeon for the right patient, not just a smaller incision.
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Hamilton, J., Caridi-Scheible, M. (2018). Anesthetic Management for Minimally Invasive Cardiac Surgery. In: Goudra, B., et al. Anesthesiology. Springer, Cham. https://doi.org/10.1007/978-3-319-74766-8_6
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