Less is better? Comparing effects of median sternotomy and thoracotomy surgical approaches for left ventricular assist device implantation on postoperative outcomes and valvulopathy.

ABSTRACT:

Objective

Our objective was to compare outcomes after left ventricular assist device implantation performed via median sternotomy or lateral thoracotomy.

Methods

We retrospectively analyzed 222 adult patients with the HeartMate3 (Abbott Lab) left ventricular assist device implanted between November 2014 and November 2021. Outcomes stratified by surgical approach were evaluated in propensity score-matched groups. The primary outcome was 1-year survival. Secondary outcomes included in-hospital morbidity and mortality, readmissions, and significant valvular regurgitation.

Results

Our cohort consisted of 60 patients (27%) who underwent lateral thoracotomy and 162 patients (73%) who underwent median sternotomy. Propensity score matching compared 45 patients who underwent l

SUBMITTER: Vinogradsky A 

PROVIDER: S-EPMC9669283 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature