Roslyn Miller*
The majority of cardiac surgery in recent times has involved a median sternotomy and cardiopulmonary bypass. However, as the use of minimally invasive procedures in cardiovascular surgery increases, this paradigm is shifting. Surgeons now have the ability to carry out a wide range of intricate procedures with fewer incisions and, in some instances, without the use of cardiopulmonary bypass thanks to advancements in patient evaluation, instrumentation and surgical technique. Minimally invasive cardiac surgery ought to be widely practiced because patients want less invasive procedures and the literature supports reduced blood loss, shorter hospital stays, reduced postoperative pain and improved cosmesis. In this section, we discuss the various approaches and incisions currently utilized in minimally invasive cardiovascular surgery.
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