Partial versus Complete Sternotomy for Aortic Valve Replacement-Multicenter Study.


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:
16 Apr 2024
Historique:
medline: 17 4 2024
pubmed: 17 4 2024
entrez: 16 4 2024
Statut: aheadofprint

Résumé

 The benefits of minimally invasive techniques in cardiac surgery remain poorly defined. We evaluated the short- and mid-term outcomes after surgical aortic valve replacement through partial upper versus complete median sternotomy (MS) in a large, German multicenter cohort.  A total of 2,929 patients underwent isolated surgical aortic valve replacement via partial upper sternotomy (PUS,  Unadjusted MACCE rates were significantly lower in the PUS group both at 30 days (  In a large, German multicenter cohort, MACCE rates were comparable in surgical aortic valve replacement through partial upper and complete sternotomies. Shorter ICU stay and lower rates of Dressler's syndrome and rehospitalization were in favor of the partial sternotomy group.

Sections du résumé

BACKGROUND BACKGROUND
 The benefits of minimally invasive techniques in cardiac surgery remain poorly defined. We evaluated the short- and mid-term outcomes after surgical aortic valve replacement through partial upper versus complete median sternotomy (MS) in a large, German multicenter cohort.
METHODS METHODS
 A total of 2,929 patients underwent isolated surgical aortic valve replacement via partial upper sternotomy (PUS,
RESULTS RESULTS
 Unadjusted MACCE rates were significantly lower in the PUS group both at 30 days (
CONCLUSION CONCLUSIONS
 In a large, German multicenter cohort, MACCE rates were comparable in surgical aortic valve replacement through partial upper and complete sternotomies. Shorter ICU stay and lower rates of Dressler's syndrome and rehospitalization were in favor of the partial sternotomy group.

Identifiants

pubmed: 38626902
doi: 10.1055/s-0044-1782685
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Thieme. All rights reserved.

Déclaration de conflit d'intérêts

None declared.

Auteurs

Nora Goebel (N)

Robert-Bosch-Krankenhaus GmbH, Stuttgart, Baden-Wuerttemberg, Germany.

Tomasz Stankowski (T)

Sana-Herzzentrum Cottbus GmbH, Cottbus, Brandenburg, Germany.

Francesco Pollari (F)

Klinikum Nürnberg - Paracelsus Medizinische Universität, Nuremberg, Germany.

Kambiz Hassan (K)

Asklepios Klinik Sankt Georg, Hamburg, Germany.

Helena Jueckstock (H)

Klinikum Passau, Passau, Bayern, Germany.

Jens Schubel (J)

MediClin Herzzentrum Coswig, Coswig, Sachsen-Anhalt, Germany.

Christian Sellin (C)

Klinikum Fulda gAG, Fulda, Germany.

Thorsten Zielezinski (T)

Bundeswehrzentralkrankenhaus Koblenz, Koblenz, Rheinland-Pfalz, Germany.

Yacine Elhmidi (Y)

Klinikum der Stadt Ludwigshafen am Rhein gGmbH, Ludwigshafen, Rheinland-Pfalz, Germany.

Falk-Udo Sack (FU)

Klinikum der Stadt Ludwigshafen am Rhein gGmbH, Ludwigshafen, Rheinland-Pfalz, Germany.

Richard Feyrer (R)

Bundeswehrzentralkrankenhaus Koblenz, Koblenz, Rheinland-Pfalz, Germany.

Hilmar Doerge (H)

Klinikum Fulda gAG, Fulda, Germany.

Harald Hausmann (H)

MediClin Herzzentrum Coswig, Coswig, Sachsen-Anhalt, Germany.

Parwis Massoudy (P)

Klinikum Passau, Passau, Bayern, Germany.

Michael Schmoeckel (M)

Asklepios Klinik Sankt Georg, Hamburg, Germany.

Samer Hakmi (S)

Asklepios Klinik Sankt Georg, Hamburg, Germany.

Theodor Fischlein (T)

Klinikum Nürnberg - Paracelsus Medizinische Universität, Nuremberg, Germany.

Dirk Fritzsche (D)

Sana-Herzzentrum Cottbus GmbH, Cottbus, Brandenburg, Germany.

Ulrich F W Franke (UFW)

Robert-Bosch-Krankenhaus GmbH, Stuttgart, Baden-Wuerttemberg, Germany.

Classifications MeSH