Comparison of Totally Endoscopic Replacement of the Ascending Aorta and the Aortic Root via Right Anterior Mini-Thoracotomy Versus Complete Sternotomy.

The article compares the outcomes of minimally invasive surgery via right anterolateral mini-thoracotomy (RAMT) access versus complete sternotomy (CS) in patients undergoing replacement of the ascending aorta (AA) and the aortic root. The study found that RAMT had shorter aortic x-clamp time, lower 30-day mortality, and fewer complications such as wound infections, postoperative delirium, and re-intubation compared to CS. The authors recommend adopting the RAMT approach for aortic surgery to reduce sternotomy-associated complications and improve postoperative outcomes. [Extracted from the article]