Introduction: Traditional aortic valve replacement is performed a large median sternotomy. Less invasive techniques have emerged in order to reduce the risk and convalescence of patients. Minimally invasive aortic surgery has these benefits. However, the literature has not shown that these minimal techniques are superior to conventional techniques.
Objective: To evaluate the immediate and distant results of up to 17 months of aortic valve replacement performed through a superior partial "J" sternotomy and compare them with the traditional approach in the same period of time.
Method: Consecutive patients are operated with either one techniques by different surgeons of the service.
Results: Long-term mortality was 2% for minimal surgery and 5% for classic ciugia, cec time was higher in aortic minimus surgery 78 vs 96 mins, there were no reoperations due to bleeding in aortic minimal group, There were no differences on permanence in ICU.
Conclusions: Minimally invasive aortic surgery is a technique with results that are at least similar to the classic technique, and may benefit high-risk groups.
Key words: Minimally invasive aortic surgery ,less invasive,surgery ,mini sternotomy, aortic valve replacement.