Abstract
BackgroundAortic valve replacement for treatment of aortic valve diseases is quite common. Minimally invasive procedures have gained a lot of popularity in recent years with the claimed better early postoperative outcomes in comparison with conventional techniques.ObjectiveThe aim was to compare early postoperative outcomes after ministernotomy versus conventional median sternotomy aortic valve replacement.Patients and methodsThe authors prospectively studied 60 patients who underwent aortic valve replacement surgery at the National Heart Institute between the period of May 2020 and July 2021. A total of 30 patients had aortic valve replacement via upper ministernotomy approach, whereas the other 30 patients had aortic valve replacement using conventional median sternotomy. Early postoperative results were compared with each other.ResultsThere was no morality throughout the study. The mean age was 45.8 ± 15.13 years in the conventional group and 51.13 ± 17.8 in the ministernotomy group. Perioperative data showed no significant difference between the two groups, except for aortic orifice (root) diameter, which was wider in the ministernotomy group. The cross-clamp time was 60.33 ± 8.27 in the conventional group and 70.66 ± 6.91 in the ministernotomy group, and the total bypass time was 77.0 ± 8.46 and 88.1 ± 9.55, respectively, with significant difference between the two groups. Postoperative pain levels showed a statistically significant difference and were less severe in the ministernotomy group, and the total hospital stay was shorter in the ministernotomy group, with significant difference between the two groups.ConclusionThe use of upper ministernotomy approach to replace a diseased aortic valve is safe and can be compared with the conventional median sternotomy approach.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.