Hemisternotomy Approach for Aortic and Mitral Valve Surgery
Key result
Partial upper sternotomy for minimally invasive aortic and mitral valve surgery was associated with an operative mortality of 0.8% and a 2.4% rate of conversion to full sternotomy.
Why the study?
Does partial upper sternotomy provide a safe approach for minimally invasive aortic and mitral valve surgery in patients requiring cardiac valve surgery?
Population
827 patients undergoing cardiac valve surgery between March 1997 and January 1999.
Design
Case_series
Authors
Discussion
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Member takes
Implication
Supports feasibility in experienced centers; leaves open need for randomized comparisons to full sternotomy.
Study Design
Type
Observational (n=827)
Structured PICO
Does partial upper sternotomy provide a safe approach for minimally invasive aortic and mitral valve surgery in patients requiring cardiac valve surgery?
P
Population
827 patients undergoing minimally invasive aortic or mitral valve surgery via partial upper sternotomy between March 1997 and January 1999.
E
Exposure
Partial upper sternotomy (hemisternotomy) for minimally invasive aortic and mitral valve surgery.
O
Outcome
Operative mortality, conversion to full sternotomy, and blood transfusion requirement.safety
Partial upper sternotomy is a safe and effective approach for primary minimally invasive aortic and mitral valve surgery, associated with low operative mortality and minimal blood transfusion requirements.
Cite This Study
Gillinov et al. (2000) conducted an observational in Cardiac valve surgery (n=827). Partial upper sternotomy was evaluated on Operative mortality. Partial upper sternotomy for minimally invasive aortic and mitral valve surgery was associated with an operative mortality of 0.8% and a 2.4% rate of conversion to full sternotomy.