As with Zostavax, the recommendation is that those who are or

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AbstractBackground: Aortic valve replacement is one of the most common cardiac surgical procedures performed Conventional aortic valve replacement surgery is performed via a median sternotomy; the sternum is completely from the sternal notch to the xiphisternum. Minimally invasive aortic valve replacement, using a technique called manubrium limited ministernotomy, divides only the manubrium from the sternal notch to 1 below the manubrio sternal junction. Than one third of patients undergoing conventional sternotomy develop clinically significant bleeding requiring red blood cell transfusion.

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