Right anterior minithoracotomy for aortic valve replacement: 10-year experience of a single center

Glauber, Mattia; Gilmanov, Daniyar; Farneti, Pier Andrea; Kallushi, Enkel; Miceli, Antonio; Chiaramonti, Francesca; Murzi, Michele; Solinas, Marco

doi:10.1016/j.jtcvs.2015.06.045

Cited by 55 publications

(55 citation statements)

References 22 publications

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“…Our study showed mean ventilation time of 6hrs, mean ICU stay of 47.8hrs, mean duration of stay in hospital being 7.133days as compared to ventilation time 9.8 (6) hours; intensive care unit stay was 1.5 (1) days; hospital length of stay was 6.6 (6) days observed by Glauber M et al 3 . Wound complications is decreased in patients operated using the minimally invasive technique, a finding that is confirmed by the review of the scientific literature, patients who undergo minimally invasive procedures have a lower incidence of postoperative infections and mediastinitis 7 .…”

Section: Discussionsupporting

confidence: 61%

An Audit of Minimally Invasive Cardiac Surgery – An Initial Experience of 30 Cases At Our Institute

Kulkarni¹,

Jain²,

Sundeep³

et al. 2016

IOSR

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Section: Discussionsupporting

confidence: 61%

An Audit of Minimally Invasive Cardiac Surgery – An Initial Experience of 30 Cases At Our Institute

Kulkarni¹,

Jain²,

Sundeep³

et al. 2016

IOSR

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“…Previous studies involving minimally invasive AVR reported less bleeding, early recovery time, less pain, and improved cosmesis. 30 Studies also have reported the costeffectiveness of MIS-AVR with propensity matching and MIS RAT approaches. 31,32 MIS-RDAVR procedures with novel fast-track focused recovery protocols also may prove to be cost-effective.…”

Section: Discussionmentioning

confidence: 99%

Early outcomes after isolated aortic valve replacement with rapid deployment aortic valve

Wahlers

Haverich

Borger

et al. 2016

The Journal of Thoracic and Cardiovascular Surgery

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These data suggest that isolated rapid deployment aortic valve replacement through an upper hemisternotomy can lead to shorter crossclamp times than has been reported historically in the literature. This may facilitate minimal access aortic valve replacement by eliminating the issue of prolonged crossclamp times. Further, low in-hospital mortality and new permanent pacemaker implant rates were observed regardless of surgical approach.

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“…Nevertheless, cardiac surgeons have been offering minimally invasive valve surgery (MIVS), both aortic and mitral, for several years with favorable results in the general surgical population [3] -these benefits may be also evident in patients with co-morbidities [4].…”

Section: Introductionmentioning

confidence: 99%

The role of minimal access valve surgery in the elderly. A meta-analysis of observational studies

Moscarelli

Emmanuel

Athanasiou

et al. 2016

International Journal of Surgery

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h i g h l i g h t sMinimal access valve surgery is a safe alternative to the sternotomy approach in elderly patients. The approach demonstrates reduced mechanical ventilation time and reduced length of stay. Mortality is comparable to those undergoing a conventional sternotomy. Limitations for this approach include prolonged cardiopulmonary bypass and cross-clamp time.a r t i c l e i n f o b s t r a c tBackground: Minimal access valve surgery, both mitral and aortic, may be related to improvement in specific post-operative outcomes, therefore may be beneficial for the subgroup of the elderly referred for valve surgery. Methods: A systematic literature review identified several different studies, of which 6 fulfilled criteria for meta-analysis. Outcomes for a total of 1347 patients (675 conventional standard sternotomy and 672 minimally invasive valve surgery) were assessed with a meta-analysis using random effects modeling. Heterogeneity, subgroup analysis with quality scoring were also assessed. The primary endpoint was early mortality. Secondary endpoints included intra and post-operative outcomes. Results: In the context of elderly patients, minimal access valve surgery conferred comparable early mortality to standard sternotomy (odd ratio (OR) 0.79, CI [0.40,1.56], p ¼ 0.50) with no heterogeneity (p ¼ 0.13); it was also associated with reduced mechanical intubation time (OR 0.48, CI [0.30,0.78], p ¼ 0.003) and reduced post-operative length of stay (weighted mean difference (WMD) À2.91, CI [À3.09, À2.74] p < 0.00001), however both cardio-pulmonary bypass time and cross clamp time were longer (WMD 24.29, CI [22.97, 25.61] p < 0. 00001 and WMD 8.61, CI [7.61,9.61], p < 0.00001, respectively); subgroup analysis demonstrated statistically significant reduced post-operative length of stay for both minimally invasive aortic and mitral surgery (WMD À2.84, CI [À3.07, À2.60] p < 0.00001 and WMD À2.98, CI [À3.25, À2.71] p < 0.00001 respectively). Conclusions: Despite a prolonged cardiopulmonary bypass and cross clamp time, minimally invasive valve surgery is a safe alternative to standard sternotomy in the elderly, with similar early mortality, and improvements in intubation time as well as length of stay.

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Right anterior minithoracotomy for aortic valve replacement: 10-year experience of a single center

Cited by 55 publications

References 22 publications

An Audit of Minimally Invasive Cardiac Surgery – An Initial Experience of 30 Cases At Our Institute

An Audit of Minimally Invasive Cardiac Surgery – An Initial Experience of 30 Cases At Our Institute

Early outcomes after isolated aortic valve replacement with rapid deployment aortic valve

The role of minimal access valve surgery in the elderly. A meta-analysis of observational studies

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