Partial upper sternotomy for aortic valve replacement provides similar mid-term outcomes as the full sternotomy

Result code in IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064173%3A_____%2F22%3A43923389" target="_blank" >RIV/00064173:_____/22:43923389 - isvavai.cz</a>

Alternative codes found

RIV/75010330:_____/22:00014132 RIV/00216208:11120/22:43923389

Result on the web

<a href="https://doi.org/10.21037/jtd-21-1494" target="_blank" >https://doi.org/10.21037/jtd-21-1494</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.21037/jtd-21-1494" target="_blank" >10.21037/jtd-21-1494</a>

Result language

angličtina

Original language name

Partial upper sternotomy for aortic valve replacement provides similar mid-term outcomes as the full sternotomy

Original language description

Background: Minimally invasive aortic valve replacement via upper partial sternotomy (MiniAVR) provides very good short-term results and delivers certain advantages in the postoperative course. There is limited data regarding the mid-term mortality and morbidity following this minimally invasive surgery. Methods: We provide a retrospective analysis of the patients, undergoing MiniAVR versus full sternotomy (FS) for aortic valve replacement with biological prosthesis. As the primary combined end-point the combination of death, stroke, and rehospitalization within 3 years postoperatively was defined. Data have been collected from National Cardiac Surgery Registry and insurance companies. Results: Two hundred consecutive patients with aortic valve replacement (100 ministernotomy in MiniAVR group and 100 full sternotomy in FS group) with biological prosthesis were included in this study. Ministernotomy had longer cross-clamp and bypass times (median difference 6.5 min, P=0.005, and 8.5 min, P=0.002 respectively). Patients operated via upper partial sternotomy had a lower postoperative bleeding [300 mL (IQR, 290) vs. 365 mL (IQR, 207), P=0.031]. There was no difference in the 3-year mortality (14% vs. 11%, P=0.485). The mean number of readmission 3 years after surgery per capita was almost the same in both groups (1.65 vs. 1.60, P=0.836). Median time to the first readmission was longer in the MiniAVR group (difference 8.9 months). The incidence of combined end-point during 3 years postoperatively in both groups was not statistically different (P=0.148), as well as readmissions from cardio-vascular reasons (subhazard ratio 0.90, P=0.693). Conclusions: Upper partial sternotomy can be performed safely for aortic valve replacement, without increased risk of death, stroke or re-admission in 3 years postoperatively.

Czech name

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Czech description

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Type

J_imp - Article in a specialist periodical, which is included in the Web of Science database

CEP classification

—

OECD FORD branch

30201 - Cardiac and Cardiovascular systems

Project

—

Continuities

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year

2022

Confidentiality

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Name of the periodical

Journal of Thoracic Disease

ISSN

2072-1439

e-ISSN

2077-6624

Volume of the periodical

14

Issue of the periodical within the volume

4

Country of publishing house

CN - CHINA

Number of pages

9

Pages from-to

857-865

UT code for WoS article

000774704300001

EID of the result in the Scopus database

2-s2.0-85129372820