Mini-thoracotomy and full-sternotomy approach for reoperative mitral valve surgery after a previous sternotomy.

ABSTRACT:

Objectives

Right mini-thoracotomy approach may enhance the visualization of mitral valve (MV) visualization during redo MV surgery, thereby minimizing the risk of reoperative median sternotomy. We described the clinical outcomes of redo MV surgery by mini-thoracotomy and full-sternotomy approach.

Methods

Of 730 consecutive adult patients who underwent redo MV surgery between 2002 and 2018 at our institution, we identified 380 patients (age: 56.0 [14.8] years) after excluding those who underwent concomitant aortic valve or coronary artery surgeries.

Results

The clinical outcomes in patients who underwent mini-thoracotomy (MINI group; n = 168) and full-sternotomy (STERN group; n = 218) were described. The early and overall mortality in the MINI group was 4.3% (7/162) an

SUBMITTER: Kwon Y 

PROVIDER: S-EPMC8860419 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature