Key result
Minimally invasive Bentall procedure yields 0% 30-day mortality, matching or slightly outperforming full sternotomy.
Why the study?
Does a minimally invasive partial upper sternotomy approach improve outcomes compared to standard full sternotomy in selected patients undergoing the Bentall procedure?
Cohort (n=53)
No
Does a minimally invasive partial upper sternotomy approach improve outcomes compared to standard full sternotomy in selected patients undergoing the Bentall procedure?
A minimally invasive partial upper sternotomy is a safe and potentially superior alternative to full sternotomy for selected patients undergoing the Bentall procedure.
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Supports partial upper sternotomy Bentall in selected patients; leaves open confirmation of superiority via randomized trials.
Mikus et al. (2017) conducted a cohort in Complex aortic root pathology (n=53). Minimally invasive approach (partial upper J-shaped sternotomy) for Bentall procedure vs. Standard full sternotomy was evaluated on Hospital and 30-day mortality. Minimally invasive Bentall procedure via partial upper sternotomy in selected patients resulted in 0% hospital and 30-day mortality, showing similar or slightly superior outcomes to full sternotomy.
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