1. Clinical study of minimally invasive aortic valve replacement through a right parasternal second intercostal transverse incision: The first Chinese experience
- Author
-
Xiang Long, Feng Lu, Bai-Quan Qiu, Yong-Bing Wu, Kun Lin, Xu Pei, Jian-Jun Xu, and Shu-Qiang Zhu
- Subjects
medicine.medical_specialty ,China ,Blood transfusion ,RD1-811 ,medicine.medical_treatment ,Clinical study ,03 medical and health sciences ,0302 clinical medicine ,Aortic valve replacement ,medicine ,Humans ,Minimally Invasive Surgical Procedures ,Minimally invasive ,Retrospective Studies ,Heart Valve Prosthesis Implantation ,business.industry ,Right anterior thoracotomy ,Retrospective cohort study ,medicine.disease ,Transverse incision ,Sternotomy ,Surgery ,Treatment Outcome ,Thoracotomy ,Parasternal line ,030220 oncology & carcinogenesis ,Aortic Valve ,030211 gastroenterology & hepatology ,business ,Hospital stay - Abstract
Background: There is an increasing demand for minimally invasive aortic valve replacement. This study aimed to investigate the safety and feasibility of minimally invasive aortic valve replacement through a right parasternal second intercostal transverse incision. Methods: This was a retrospective study, and we collected information from 111 patients who underwent isolated aortic valve replacement surgery performed by the same surgeon from January 2018 to December 2019. According to the operative approach, the patients were divided into a sternotomy aortic valve replacement (SAVR) group (n = 62) and a minimally invasive aortic valve replacement (Mini-AVR) group (n = 49). We compared the intraoperative and postoperative data between the two groups. Result: There was no difference in preoperative data between the Mini-AVR and SAVR. The postoperative ventilator-assisted time, CSICU time and postoperative hospital stay of the Mini-AVR were shorter than those of the SAVR [(15.45 ± 5.75) VS (18.51 ± 6.71) h; (1.77 ± 0.31) VS (2.04 ± 0.63) d; (8.69 ± 2.75) VS (10.77 ± 2.94) d], and the difference was statistically significant (P
- Published
- 2021