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Minimally invasive access type related to outcomes of sutureless and rapid deployment valves.


ABSTRACT: OBJECTIVES:Minimally invasive surgical techniques with optimal outcomes are of paramount importance. Sutureless and rapid deployment aortic valves are increasingly implanted via minimally invasive approaches. We aimed to analyse the procedural outcomes of a full sternotomy (FS) compared with those of minimally invasive cardiac surgery (MICS) and further assess MICS, namely ministernotomy (MS) and anterior right thoracotomy (ART). METHODS:We selected all isolated aortic valve replacements in the Sutureless and Rapid Deployment Aortic Valve Replacement International Registry (SURD-IR, n?=?2257) and performed propensity score matching to compare aortic valve replacement through FS or MICS (n?=?508/group) as well as through MS and ART accesses (n?=?569/group). RESULTS:Postoperative mortality was 1.6% in FS and MICS patients who had a mean logistic EuroSCORE of 11%. Cross-clamp and cardiopulmonary bypass (CPB) times were shorter in the FS group than in the MICS group (mean difference 3.2 and 9.2?min; P?

SUBMITTER: Andreas M 

PROVIDER: S-EPMC7577292 | biostudies-literature | 2020 Nov

REPOSITORIES: biostudies-literature

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Minimally invasive access type related to outcomes of sutureless and rapid deployment valves.

Andreas Martin M   Berretta Paolo P   Solinas Marco M   Santarpino Giuseppe G   Kappert Utz U   Fiore Antonio A   Glauber Mattia M   Misfeld Martin M   Savini Carlo C   Mikus Elisa E   Villa Emmanuel E   Phan Kevin K   Fischlein Theodor T   Meuris Bart B   Martinelli Gianluca G   Teoh Kevin K   Mignosa Carmelo C   Shrestha Malakh M   Carrel Thierry P TP   Yan Tristan T   Laufer Guenther G   Di Eusanio Marco M  

European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery 20201101 5


<h4>Objectives</h4>Minimally invasive surgical techniques with optimal outcomes are of paramount importance. Sutureless and rapid deployment aortic valves are increasingly implanted via minimally invasive approaches. We aimed to analyse the procedural outcomes of a full sternotomy (FS) compared with those of minimally invasive cardiac surgery (MICS) and further assess MICS, namely ministernotomy (MS) and anterior right thoracotomy (ART).<h4>Methods</h4>We selected all isolated aortic valve repla  ...[more]

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