Combined Mitral and Aortic Valve Procedure via Right Mini-Thoracotomy versus Full Median Sternotomy

International Heart Journal
Dong ZhaoChunSheng Wang

Abstract

Data involving combined mitral and aortic valve procedure via the right mini-thoracotomy approach are very limited. This single-center propensity-matching study aimed to evaluate early clinical outcomes of patients who underwent combined mitral and aortic valve procedure via right mini-thoracotomy versus full median sternotomy.From January 2013 to December 2016, 926 eligible patients in our center were identified for this study. After propensity score-matching, 91 pairs of patients were entered into a RT group (right mini-thoracotomy surgery) or a FS group (full median sternotomy surgery). In-hospital and follow-up clinical outcomes were investigated and analyzed.Patients in the RT group received similar surgical mortality as patients in the FS group (1.1% versus 2.2%, P > 0.05). Patients in the RT group as compared with the FS group were less likely to receive postoperative new onset of atrial fibrillation and red cell transfusion (11.0% versus 25.3%, P = 0.012; 17.6% versus 37.4%, P = 0.003, respectively), but they shared similar incidences of other major postoperative morbidity. Patients in the RT group as compared with the FS group experienced 6-minute longer aortic cross-clamping times and 9-minute longer cardiopulmonary b...Continue Reading

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Citations

Sep 10, 2020·Journal of Cardiac Surgery·Louise J BrownAmer Harky
Nov 24, 2020·The Thoracic and Cardiovascular Surgeon·Ali El-Sayed AhmadFarhad Bakhtiary
Dec 15, 2020·The Thoracic and Cardiovascular Surgeon·Gloria FaerberTorsten Doenst
Apr 11, 2021·The Annals of Thoracic Surgery·James S GammieSari D Holmes
Dec 29, 2021·The Thoracic and Cardiovascular Surgeon·Hesham Alkady, Sobhy Abouramadan

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