Mitral Valve Surgery via Partial Upper Sternotomy: Closing the Gap between Conventional Sternotomy and Right Lateral Minithoracotomy.
Aged
Databases, Factual
Female
Heart Valve Diseases
/ diagnostic imaging
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation
/ adverse effects
Hospital Mortality
Humans
Length of Stay
Male
Mitral Valve
/ diagnostic imaging
Operative Time
Patient Selection
Postoperative Complications
/ mortality
Retrospective Studies
Risk Assessment
Risk Factors
Sternotomy
/ adverse effects
Thoracotomy
/ adverse effects
Time Factors
Treatment Outcome
Journal
The Thoracic and cardiovascular surgeon
ISSN: 1439-1902
Titre abrégé: Thorac Cardiovasc Surg
Pays: Germany
ID NLM: 7903387
Informations de publication
Date de publication:
Oct 2019
Oct 2019
Historique:
pubmed:
5
9
2018
medline:
4
12
2019
entrez:
5
9
2018
Statut:
ppublish
Résumé
Minithoracotomy (MT) has gained broad acceptance for mitral valve surgery (MVS) in the last decade. In the presence of defined limitations of MT, however, full sternotomy (FS) is still widely preferred. We assume that the less investigated partial upper sternotomy (PS) will permit the gap between MT and FS in MVS to be closed. The purpose of this study is to investigate a valid less invasive alternative to MT for isolated MVS or multivalve surgery. This retrospective analysis includes data on 1,639 patients, who underwent either isolated or combined primary MVS at our department from May 2011 to August 2017. Out of these, 663 patients were operated via MT access. One-hundred three patients had been judged as not suitable for MT but feasible for PS approach in which 53.4% ( Operative, 90-day, and 1-year mortality in the PS-cohort was 0, 1.0% ( The presented results demonstrate that there is a cohort of patients, who are not candidates for MT in MVS but may be operated successfully by an alternative less invasive approach.
Sections du résumé
BACKGROUND
BACKGROUND
Minithoracotomy (MT) has gained broad acceptance for mitral valve surgery (MVS) in the last decade. In the presence of defined limitations of MT, however, full sternotomy (FS) is still widely preferred. We assume that the less investigated partial upper sternotomy (PS) will permit the gap between MT and FS in MVS to be closed. The purpose of this study is to investigate a valid less invasive alternative to MT for isolated MVS or multivalve surgery.
METHODS
METHODS
This retrospective analysis includes data on 1,639 patients, who underwent either isolated or combined primary MVS at our department from May 2011 to August 2017. Out of these, 663 patients were operated via MT access. One-hundred three patients had been judged as not suitable for MT but feasible for PS approach in which 53.4% (
RESULTS
RESULTS
Operative, 90-day, and 1-year mortality in the PS-cohort was 0, 1.0% (
CONCLUSION
CONCLUSIONS
The presented results demonstrate that there is a cohort of patients, who are not candidates for MT in MVS but may be operated successfully by an alternative less invasive approach.
Identifiants
pubmed: 30180258
doi: 10.1055/s-0038-1667144
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
524-530Informations de copyright
Georg Thieme Verlag KG Stuttgart · New York.
Déclaration de conflit d'intérêts
None.