Surgeons in France report that they have performed the first total endoscopic aortic valve replacement (TEAVR) in 2 human patients. Their paper has been published in the the Journal of Thoracic and Cardiovascular Surgery [subscription required]. In recent years the development of TAVR (transcatheter aortic valve replacement) has attracted enormous attention. But TAVR, which is performed by an interventional cardiologist, is generally restricted to patients who are either not suitable for surgery or at very high risk for surgery. The new paper is the latest indication that surgeons too are now working to limit as much as possible the trauma of aortic valve surgery.
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