Key result
Routine use of right-lateral transaxillary access as the default approach allowed sternum-preserving surgery in nearly 99% of patients, with under 2% conversion to sternotomy across 2,486 procedures.
Why the study?
Does a routine right-lateral transaxillary access approach maintain safety and feasibility compared to median sternotomy in patients undergoing structural heart surgery?
Does a routine right-lateral transaxillary access approach maintain safety and feasibility compared to median sternotomy in patients undergoing structural heart surgery?
A single-center experience demonstrates that a sternum-preserving right-lateral transaxillary approach can safely be implemented as the default access for nearly all structural heart surgeries.
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Taghizadeh‐Waghefi et al. (2026) conducted an editorial in Structural heart disease (n=2,486). Right-lateral transaxillary access vs. Median sternotomy (historical/conceptual) was evaluated. Routine use of right-lateral transaxillary access as the default approach allowed sternum-preserving surgery in nearly 99% of patients, with under 2% conversion to sternotomy across 2,486 procedures.
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