Minithoracotomy versus sternotomy in mitral valve surgery: meta-analysis from recent matched and randomized studies.

ABSTRACT:

Background

There is still ongoing debate about the benefits of mini-thoracotomy (MTH) approach in mitral valve surgery in comparison with complete sternotomy (STER). This study aims to update the current evidence with mortality as primary end point.

Methods

The MEDLINE and EMBASE databases were searched through June 2022. Two randomized studies and 16 propensity score matched studies published from 2011 to 2022 were included with a total of 12,997 patients operated on from 2005 (MTH: 6467, STER: 6530). Data regarding early mortality, stroke, reoperation for bleeding, new renal failure, new onset of atrial fibrillation, need of blood transfusion, prolonged ventilation, wound infection, time-related outcomes (cross clamp time, cardiopulmonary bypass time, ventilation time, len

SUBMITTER: Al Shamry A 

PROVIDER: S-EPMC10080824 | biostudies-literature | 2023 Apr

REPOSITORIES: biostudies-literature