Minimally Invasive Transaxillary Approach: Aortic Valve Replacement in a Patient with BMI >50 kg/m²

<p>This video demonstrates the successful application of the transaxillary MICLAT-S (<em>M</em>inimally <em>I</em>nvasive <em>C</em>ardiac <em>L</em>ateral <em>S</em>urgery) approach for aortic valve replacement (AVR) in a patient with a BMI &gt;50 kg/m&sup2;. The procedure showcases the feasibility and safety of the MICLAT-S technique in a high-risk, morbidly obese patient, a group traditionally considered challenging for minimally invasive surgery. By sparing the sternum and utilizing a lateral, transaxillary access route, the MICLAT-S method minimizes surgical trauma, reduces the risk of postoperative wound complications, and preserves thoracic stability, even in patients with extreme obesity.</p> <p>Despite the patient&rsquo;s elevated BMI, the surgical team was able to maintain excellent access to the aortic valve, ensuring a smooth and efficient valve replacement. This video further supports the findings of our study, which demonstrate that the transaxillary concept of MICLAT-S is a viable alternative to traditional sternotomy, offering significant advantages, particularly in obese patients.</p> <p>This description complements the video by tying it to the findings of the paper and underlining the advantages of the transaxillary concept of MICLAT-S technique in this specific patient population.</p>