Minimally invasive aortic valve replacement techniques using endoscopic surgery: ‘must dos’ and ‘preferences’

Abstract Aortic valve replacement via a full sternotomy remains the gold standard for aortic stenosis treatment; however, minimally invasive techniques have grown in popularity and continue to evolve. A recent evolution of minimally invasive aortic valve replacement is endoscopic surgical aortic valve replacement: a miniaturized surgical approach under video guidance. To ensure a safe and reproducible procedure, we have developed ‘must dos’ and ‘preferences’ for endoscopic surgical aortic valve replacement. These include specific endoscopic surgical skills to avoid severe adverse events or an emergency conversion to a full sternotomy.