Aortic Valve Replacement Via Right Anterior Mini-Thoracotomy Versus Conventional Sternotomy: A Propensity Matched Retrospective Cohort Analysis of Short-Term Outcomes

Abstract

Aortic valve replacement (AVR) via right anterior mini-thoracotomy (RAMT) is purported to offer the benefits of surgical valve replacement without the morbidity of median sternotomy. This is the largest cohort of patients who underwent AVR via RAMT reported in Australia. The availability of transcatheter approaches has made treatment decisions for patients with aortic stenosis more complex. Reporting of current Australian data is key to informed decision-making for patients and clinicians. This study aimed to compare the perioperative outcomes of AVR via the RAMT approach versus conventional full sternotomy.