Early Outcome of Minimally-Invasive Aortic Valve Replacement through Mini Sternotomy versus Conventional Approach

Background: Currently, minimally invasive approaches are widely used in the feild of cardio-thoracic surgeries. The main objective of these approaches is to maximize patient satisfaction regarding cosmetic shape of the wound, patient comfort, and rapid attainment of normal life. In addition, these approaches are thought to improve patient-related surgical morbidity, length of hospitalization, and total financial burden. Objective: To compare early surgical outcomes during hospital stay after aortic valve surgeries using ministernotomy and conventional full sternotomy approach. Methods: Our research was a prospective,comparative,non-randomized study. It included 60 patients with AVD who required aortic valve surgery divided into two groups(group Ι {MSAVR}(n=30) & group Π {FSAVR}(n=30) ). The study was conducted at El Hossien university hospital and Nasser institute hospital from March 2019 to August 2022. Results: this study showed that MSAVR shows better cosmetic appearance, less post-operative pain, shorter post-operative ventilation time, shorter ICU and hospital stay, less blood transfusion, and more satisfaction to the patients. However, no significant difference in operative and early postoperative mortality. Conclusion: Surgical management of AVR via Jshaped partial upper-sternotomy is a safe and effective technique as FSAVR and is associated with excellent post-operative outcomes.