Full sternotomy versus right anterior minithoracotomy for isolated aortic valve replacement in octogenarians: a propensity-matched study †

Interactive Cardiovascular and Thoracic Surgery
Daniyar GilmanovMattia Glauber

Abstract

Surgical aortic valve replacement (AVR) is increasingly performed in elderly patients with good perioperative outcomes and long-term survival, resulting in significant health-related quality-of-life benefits. This study aimed to evaluate the outcome of patients aged ≥ 80 years undergoing isolated AVR through a right anterior minithoracotomy (RAMT) and compare it with a full sternotomy (FS). Two hundred and eighty-three elderly patients aged 80 years or more underwent isolated AVR between February 2001 and September 2013. With propensity score matching (1 : 1), the outcomes of patients having minimally invasive surgery (RAMT) were compared with those in whom the FS approach had been employed (100 vs 100 patients). TAVRs and partial sternotomy cases were excluded from the analysis. There were two conversions in the RAMT group. Operative times did not significantly differ in the two groups. Patients in the RAMT group received a larger-sized prosthesis (P < 0.001) and were more likely to receive sutureless valves (P < 0.001). Shorter time for extubation (P < 0.001) and shorter hospital length of stay (P = 0.005) were observed in the RAMT group. Zero vs 4 (4.0%) (P = 0.043) patients had postoperative stroke and 2 (2.0%) vs zero (P =...Continue Reading

References

May 13, 1999·The Annals of Thoracic Surgery·J M CraverE L Jones
Jan 5, 2000·Heart·R Prêtre, M I Turina
Mar 15, 2000·Journal of the American College of Cardiology·K P AlexanderE D Peterson
Sep 13, 2003·Circulation·Ram SharonyStephen B Colvin
Feb 20, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Philippe KolhRaymond Limet
Feb 8, 2008·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Minoru TabataSary F Aranki
Apr 22, 2009·The Annals of Thoracic Surgery·Sergey LeontyevFriedrich W Mohr
Oct 6, 2009·Lancet·Kaare ChristensenJames W Vaupel
Jul 9, 2010·The Annals of Thoracic Surgery·William T BrinkmanWilliam H Ryan
Nov 5, 2010·The Journal of Thoracic and Cardiovascular Surgery·Andrew W ElBardissiLawrence H Cohn
Dec 22, 2010·The Annals of Thoracic Surgery·Joseph LamelasGervasio A Lamas
May 24, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Akshat SaxenaAndrew E Newcomb
Oct 11, 2011·The Annals of Thoracic Surgery·Thierry LanganayAlain Leguerrier
Apr 21, 2012·The Journal of Thoracic and Cardiovascular Surgery·Mattia GlauberMarco Solinas
Feb 19, 2013·The Journal of Thoracic and Cardiovascular Surgery·Leonard ShanAndrew Newcomb
Sep 17, 2013·The Journal of Thoracic and Cardiovascular Surgery·Antonio MiceliMattia Glauber
Dec 3, 2013·Journal of Cardiothoracic and Vascular Anesthesia·Fausto BiancariFrancesco Vasques
Jan 1, 2006·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Mattia GlauberJamshid Karimov

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Citations

May 30, 2015·Interactive Cardiovascular and Thoracic Surgery·Daniyar Sh Gilmanov, Marco Solinas
May 30, 2015·Interactive Cardiovascular and Thoracic Surgery·Daniel Hernandez-VaqueroJacobo Silva
May 2, 2016·International Journal of Surgery·Marco MoscarelliRoberto Casula
Apr 27, 2016·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Sari D HolmesNiv Ad
May 2, 2019·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Davida A RobinsonPeter A Knight
Jan 17, 2020·Journal of Cardiac Surgery·Sophio TkebuchavaTorsten Doenst
Jul 10, 2020·Journal of Cardiac Surgery·Karel M Van PraetJörg Kempfert
Jan 14, 2020·Annals of Cardiac Anaesthesia·Maria MaimariKonstantinos Triantafillou
Mar 10, 2016·The International Journal of Artificial Organs·Antonio SalsanoFrancesco Santini
Oct 12, 2018·BioMed Research International·Egle Tamuleviciute-PrascieneBirna Bjarnason-Wehrens
Jul 30, 2019·F1000Research·Cristiano SpadaccioNawwar Al-Attar
Dec 13, 2017·Deutsches Ärzteblatt International·Torsten DoenstGloria Färber
Feb 6, 2018·Journal of Cardiothoracic and Vascular Anesthesia·Rodney A GabrielRichard D Urman

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