Banner

Right mini-thoracotomy versus median sternotomy for mitral valve replacement

The Egyptian Cardiothoracic Surgeon • 2020
العودة
معلومات البحث
المؤلفون Mohamed A. EL-badawy1, Mhmoud A. Elshafey2, Mostfa M. Abdelraof3, Mona Sobhy Emara4, Ahmed Sobhy Emara2
الكلمات المفتاحية Mitral valve replacement; Right mini-thoracotomy; Median sternotomy; Minimally invasive
المجلة العلمية The Egyptian Cardiothoracic Surgeon
الناشر Not Available
المجلد Not Available
العدد Not Available
الصفحات Not Available
publication.type Local
رابط البحث Not Available
المواد المرفقة Not Available
الملخص
Abstract
Background: The advantages of minimally invasive mitral valve surgery over the conventional approach is still debated. This study aimed to evaluate early outcomes after mitral valve replacement (MVR) using the right mini-thoracotomy (RMT) versus median sternotomy (MS).
Methods: We prospectively included 60 patients who had MVR from May 2015 to June 2017. We classified patients into two groups; Group A (n= 30) had RMT, and Group B (n= 30) had MS. Postoperative pain score, wound satisfaction, and clinical and echocardiographic outcomes were compared between both groups.
Results: The mean age was 39.90 ± 12.34 years in Group A and 45.75 ± 13.10 years in Group B (p= 0.08). Preoperative and echocardiographic data showed no statistical significance difference between the groups. Group A had longer aortic cross-clamp (118.85 ± 40.56 vs. 70.75 ± 24.81 minutes, p