'ผ่าตัดลิ้นหัวใจเอออร์ติกแบบแผลเล็ก' เทคโนโลยีทางเลือกเพื่อการรักษาที่แม่นยำ!

Aortic Valve Replacement (Aortic Valve Replacement) is a treatment method for patients with aortic valve stenosis (Aortic Stenosis) or regurgitation (Aortic Regurgitation) which, if not treated promptly, may risk heart failure and death.
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Currently, medical advancements have developed a new surgical technique called “minimally invasive heart surgery” or Minimally Invasive Aortic Valve Surgery (MI-AVS) which is an option that helps reduce surgical pain, speeds up recovery, and effectively reduces postoperative complications.  
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<h2>What is the ‘Aortic Valve’? </h2>
The aortic valve is one of the four main heart valves. It functions to open and close to control the blood flow from the left ventricle of the heart into the aorta, supplying the body. If this valve malfunctions, such as not opening fully or leaking, it causes the heart to work harder, resulting in symptoms like easy fatigue, chest pain, fainting, and risk of heart failure.  
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<h2>How is minimally invasive surgery different from traditional surgery? </h2>
Traditional aortic valve replacement surgery usually requires a full opening of the breastbone (Median Sternotomy), which, although safe, results in a large surgical wound, slow recovery, and risk of infection.
  
In contrast, minimally invasive heart surgery involves making a small incision on part of the breastbone or a small side chest incision (Mini-thoracotomy) using special instruments and video cameras to assist the surgery. This method provides treatment effectiveness comparable to the traditional method but has clear advantages, including: 
<ul>
<li>Smaller incision, less pain </li>
<li>No need to cut the breastbone </li>
<li>Reduced blood loss </li>
<li>Lower risk of infection </li>
<li>Hospital stay of only a few days </li>
<li>Faster recovery, allowing quicker return to daily life </li>
</ul>
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<h2>Who is suitable for minimally invasive valve surgery?</h2>
Minimally invasive surgery may not be suitable for all patients. Doctors will evaluate several factors such as 
<ul>
<li>Overall physical condition </li>
<li>Structure of the chest bones </li>
<li>Type of valve disease and other comorbidities </li>
<li>History of previous surgeries or other heart diseases </li>
</ul>
Patients with good overall health, no complex complications, and no prior heart surgeries are usually the most suitable candidates for minimally invasive treatment. 
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<h2>What is the surgical procedure? </h2>
<ol>
<li>Anesthesia The patient will receive general anesthesia. </li>
<li>Incision The doctor will make a small incision about 4-6 centimeters in the upper breastbone area or on the side ribs. </li>
<li>Heart-lung machine insertion to control blood circulation during surgery. </li>
<li>Valve replacement The doctor will remove the damaged valve and replace it with a prosthetic valve (either biological or mechanical). </li>
<li>Wound closure After completing the surgery, the doctor will close the incision and the patient will enter the recovery phase.</li>
</ol>
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<h2>How to care after surgery? </h2>
After surgery, the patient will be cared for in the Intensive Care Unit (ICU) for a short period to closely monitor symptoms before being transferred to a general ward. Patients can usually go home within 5–7 days, depending on individual strength. The doctor will schedule follow-up appointments to monitor progress. Home recovery recommendations include: 
<ul>
<li>Avoid lifting heavy objects </li>
<li>Keep the wound clean </li>
<li>Take medications and attend medical appointments as scheduled </li>
<li>Start light exercise as advised by the doctor </li>
</ul>
 Minimally invasive aortic valve surgery is a medical advancement that helps patients receive effective, safe, and less painful treatment, especially when combined with the expertise of a highly experienced specialized cardiac surgical team, along with modern surgical instruments and technology. 
 
At Phyathai 2 Hospital, we have a cardiac surgical team trained specifically in minimally invasive cardiac surgery (Minimally Invasive Cardiac Surgery) along with a comprehensive heart center covering diagnosis, pre- and post-operative care, and close follow-up systems to ensure patients receive confident care at every step. 
 
If you have abnormal heart symptoms or suspect you may have valve disease, Phyathai 2 Hospital is ready to provide consultation and care with a team of expert doctors and advanced medical technology to help you return to a strong and confident life soon. 
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Assoc. Prof. Dr. Bulawat Homwiset
Specialist Surgeon in Cardiac, Vascular, and Thoracic Surgery 
Phyathai 2 Hospital

Minimally Invasive Aortic Valve Surgery is a heart surgery technique that reduces the size of the incision, causes less pain, and allows for faster recovery. It is suitable for patients with aortic valve stenosis or regurgitation. With advanced technology and a specialized medical team, it enhances safety and provides more effective outcomes.

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'Aortic valve surgery with a small incision' Alternative technology for precise treatment!

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