Özet:

Since the 1990-ies, the demand for smaller scars, less trauma, faster recovery, and lower healthcare costs has forced cardiac surgery to become minimally invasive. This evolution has led to the invention of transcatheter aortic valve interventions (TAVI), resulting in the pre-extinction of our surgical specialty, which we have to face today: the massive increase of truly minimally invasive TAVI has resulted in a dramatic decrease of aortic valve surgeries worldwide despite the high incidence of aortic stenosis in the growing aging population. The future of cardiac surgery is uncertain and will depend on the highly selective heart team decision-making process: all incoming aortic valve patients will be planned for TAVI, unless they have contraindications. Heart surgery will become an exclusion criterion. With this review, I would like to highlight the current issues of aortic valve replacement strategies, the outcomes of the different techniques, and the heart-team approach of my center and try to predict the future of cardiac surgery.

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