Upper mini-sternotomy versus right anterior mini-thoracotomy for Aoric valve replacement

Abstract

Background: Because of the continuous trend towards less invasive procedures, cardiac operations have become increasingly more sophisticated and complex minimally invasive techniques in cardiac operations require higher surgical abilities to accomplish the same quality compared with the traditional procedures with cardiopulmonary bypass (CPB) or sternotomy. Objective: To compare the procedure and early postoperative outcome of minimally invasive approaches, limited upper ministernotomy approach with the right anterior minithoracotomy approach. Patients and Methods: Fifty patients with aortic valve disease randomized in this study and divided into two equal groups, and randomly assigned into two equal groups; Group A Ministernotomy group requiring aortic valve surgery. The surgical approach was through the limited upper ministernotomy (6-8cm). Group B Minithoracotomy group requiring aortic valve surgery through right anterior minithoracotomy(5-7cm). Results: There was no statistically significant difference in the cross-clamp time, total bypass time, total operation time. Regarding the length of the skin incision. The mechanical ventilation time was similar, the blood loss and the blood transfusion required was also similar, as well as the ICU stay, as regard postoperative pain, total hospital stay, and the pakage cost effective there was no statistically significant difference in both groups.