1. Initial clinical experience with minimally invasive surgical aortic valve replacement
- Author
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Djamila Abjigitova, Kevin M Veen, M. Mostafa Mokhles, Jos A. Bekkers, Ad J.J.C. Bogers, Frans B S Oei, and Cardiothoracic Surgery
- Subjects
Male ,Aortic valve ,medicine.medical_specialty ,medicine.medical_treatment ,030204 cardiovascular system & hematology ,03 medical and health sciences ,0302 clinical medicine ,Aortic valve replacement ,Humans ,Minimally Invasive Surgical Procedures ,Medicine ,Myocardial infarction ,Propensity Score ,Aged ,Retrospective Studies ,Heart Valve Prosthesis Implantation ,Mechanical ventilation ,business.industry ,General Medicine ,Perioperative ,Middle Aged ,medicine.disease ,Sternotomy ,Mediastinitis ,Surgery ,Cardiac surgery ,Treatment Outcome ,medicine.anatomical_structure ,030228 respiratory system ,Aortic Valve ,Female ,Cardiology and Cardiovascular Medicine ,business ,Packed red blood cells ,Follow-Up Studies - Abstract
BaCKground: The ministernotomy approach is increasingly used in aortic valve surgery. however, the advantages are still a matter of discussion. The aim of this study was to compare the postoperative outcome in patients undergoing elective aortic valve operation, either through mini-sternotomy or conventional sternotomy. MeThods: We included 317 patients who were treated for their aortic valve, 63 patients underwent a minimally invasive aortic valve replacement (mini-avr) and 254 patients underwent a full-sternotomy avr. Patients with endocarditis, those who underwent previous cardiac surgery and those who required a concomitant procedure were excluded from the analysis. The method of matching weights according to propensity score was used to adjust for differences between the two treatment groups, and outcomes were compared. RESULTS: The mediastinal drainage was significantly lower at 6, 24 hours and total after mini-AVR procedure than after full-sternotomy AVR (median: 373 vs. 499 ml, P
- Published
- 2021