Background:Right mini-thoracotomy and partial sternotomy are widely recognized as effective approaches in minimally invasive aortic valve replacement (AVR). The aim of this study was to evaluate the objective benefits of the respective approaches compared to the conventional approach.Methods and Results:A retrospective analysis was performed in 282 consecutive patients who underwent isolated and initial AVR at a single cardiovascular institute between May 2007 and December 2012. Mini-thoracotomy and partial sternotomy were performed in 62 (22%) and in 26 patients (9%), respectively. Propensity score matching produced 36 (mini-thoracotomy vs. full sternotomy) and 24 (partial sternotomy vs. full sternotomy) well-matched pairs. Compared to the conventional approach, mini-thoracotomy was associated with significantly shorter operative time (235±35 min vs. 272±73 min; P=0.009), lower prevalence of blood transfusion (42%, 15/36 vs. 67%, 24/36; P=0.025), and significantly shorter intensive care unit and postoperative hospital stay (1.4±0.8 days vs. 2.2±1.1 days, P=0.001; and 13.3±6.5 days vs. 21.5±10.3 days, P=0.001; respectively). There were no significant differences in operative and postoperative data between the partial sternotomy and full sternotomy groups.Conclusions:The objective benefits of right mini-thoracotomy included early rehabilitation and lower prevalence of blood transfusion. Significant advantages of partial sternotomy were not found.
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
A Case of Acute Aortic Dissection in an Older Patient of Advanced Age.
Cureus
November 2024
Cardiovascular Surgery, Sapporo Medical University, Sapporo, JPN.
The patient an 85-year-old female resided in a care facility where she maintained an independent daily activity level. She was discovered hunched over a table in her room, displaying reduced responsiveness and prompting an emergency call. Initially, her blood pressure was within 60 mmHg, and she was transported by ambulance to our hospital.
View Article and Find Full Text PDFNovel Use of an Aseptically Processed Amnion-Chorion Placental Allograft to Complement Wound Closure in High-Risk Sternotomy Patients: Clinical Safety and Outcomes.
Cureus
November 2024
Department of Research, MTF Biologics, Edison, USA.
Objectives Wound dehiscence is defined as the partial or complete separation of the layers of a surgical wound. Wound dehiscence and infections are of significant concern in the field of surgery as they can lead to a range of complications, including infection, delayed healing, increased healthcare costs, and patient discomfort. For patients at high risk of sternal wound dehiscence and infection, optimization of wound closure is critical.
View Article and Find Full Text PDFMini-thoracotomy Approach for Heart Surgery in Tertiary Care Hospital of Nepal.
J Nepal Health Res Counc
October 2024
Department of Cardiothoracic and Vascular Surgery, Manmohan Cardiothoracic Vascular and Transplant Center, Maharajgunj, Nepal.
Article Synopsis
- The study examines the effectiveness of two surgical techniques, right anterior mini-thoracotomy and right axillary mini-thoracotomy, for closing atrial septal defects in patients at Green City Hospital in Kathmandu from 2016 to 2021.
- A total of 25 patients were included, with a median age of 26 years and median hospital stay of 4 days, showing no significant differences in recovery times or complications between the two surgical approaches.
- Results suggest that both methods have similar outcomes, but right axillary mini-thoracotomy may offer benefits like less blood loss during surgery and improved cosmetic results.
Right anterior mini-thoracotomy as first-line strategy for isolated aortic valve replacement: a retrospective study.
J Thorac Dis
October 2024
Department of Cardiovascular and Thoracic Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Pusan National University College of Medicine, Yangsan-si, Gyeongsangnam-do, Republic of Korea.
Article Synopsis
- Minimally invasive techniques for aortic valve replacement (AVR) aim to reduce surgical trauma and improve recovery times; this study compares outcomes of right anterior mini-thoracotomy (RAMT) and J-sternotomy (JS) methods.
- The study included 832 patients, ultimately analyzing 315 with RAMT and 92 with JS; after matching for characteristics, both methods showed similar short-term mortality rates, but RAMT had better extubation rates, less need for blood transfusions, and shorter hospital stays.
- Findings indicated that RAMT resulted in a higher 5-year survival rate (95.0% vs. 85.6%) compared to JS, suggesting that
Management of Cervical Spine Metastasis from Renal Cell Carcinoma: A Rare Case Report with an Overview.
J Orthop Case Rep
November 2024
Department of Spine Surgery, Zydus Hospitals and Healthcare Research Private Limited, Ahmedabad, Gujarat, India.
Introduction: Renal cell carcinoma (RCC) accounts for 2-3% of adult malignant tumors, often metastasizing to bones, especially the spine. Spinal metastasis has a poor prognosis, but solitary spinal tumors have better outcomes with targeted chemotherapy, radiotherapy, and newer surgical approaches. Due to RCC's high vascularity and resistance to treatments, en bloc vertebrectomy with anterior and posterior fixation is the gold standard for solitary lesions.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!