**10. The future**

Developments in minimally invasive techniques could potentially lead to totally endoscopic aortic valve replacement (TEAVR) as standard of care for aortic valve replacement [36]. It aims to avoid any sternal fracture or costal spreading by decreasing iatrogenic chest wall trauma. It also aims to maintain advantages of a surgical approach over TAVI. Suture less bio prosthesis technologies are essential to do valve replacement procedures using trocars.

**65**

**Author details**

Victoria, Australia

Imran Khan1

provided the original work is properly cited.

, Julian A. Smith1

2 Medanta Heart Institute, Gurgaon, India

\*Address all correspondence to: julian.smith@monash.edu

© 2019 The Author(s). Licensee IntechOpen. This chapter is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/ by/3.0), which permits unrestricted use, distribution, and reproduction in any medium,

\* and Naresh Trehan2

1 Department of Cardiothoracic Surgery, Monash Health and Department of Surgery, School of Clinical Sciences at Monash Health, Monash University, Clayton,

*Minimally Invasive Right Anterior Mini-Thoracotomy Aortic Valve Replacement*

real alternative to TAVI for the high risk operable patient.

MIAVR minimally invasive aortic valve replacement

TEAVR total endoscopic aortic valve replacement

TOE trans oesophageal echocardiography

The authors have no conflict of interest.

**Abbreviations and acronyms**

MS mini-sternotomy

SVC superior vena cava

ABG arterial blood gas

AVR aortic valve replacement CPB cardiopulmonary bypass

RAMT right anterior mini-thoracotomy

MIAVR using RAMT or MS is a safe and effective procedure with excellent post-operative outcomes. Although cross clamp and CPB times may be longer than conventional AVR, use of suture less valve may increase the permeation of MIAVR in the cardiac surgery community. MIAVR with suture less bio prosthesis may be a

*DOI: http://dx.doi.org/10.5772/intechopen.85242*

**11. Conclusion**

**Conflict of interest**

*Minimally Invasive Right Anterior Mini-Thoracotomy Aortic Valve Replacement DOI: http://dx.doi.org/10.5772/intechopen.85242*
