E-ISSN 2146-8133
 

Original Research (Original Article) 


Aortic valve replacement outcome using upper ministernotomy: A prospective comparison of the upper ministernotomy and conventional full median sternotomy

Atsushi Tamura, Hiroko Nakata, Tetsuya Sato, Takamichi Yoshizaki.

Abstract
Objectives: The prevalence of aortic valve disease is increasing. The purpose of this study was to compare the outcomes of patients undergoing ministernotomy versus conventional full sternotomy for aortic valve replacement (AVR).
Materials and Methods: Between May 2009 and November 2013, 59 consecutive patients underwent AVR in our institution; 27 patients received upper ministernotomy (Group M), and 32 received conventional median full sternotomy (Group F). Pre-operative characteristics, aortic valve pathology, and left ventricular function in both groups were similar.
Results: No differences were found in mean operation time, volume of blood loss, mean cardiopulmonary time, aortic clamp time, transfusion rate, or mortality and morbidity rates. However, the amount of red blood cells used in transfusion was significantly less in Group F than in Group M (7.3 ± 4.5 vs. 4.6 ± 3.3 units, P = 0.015).
Conclusions: Although ministernotomy can be safely used for AVR without prolonging operative or cardiopulmonary time, no significant advantages were discerned for choosing ministernotomy over conventional full median sternotomy.

Key words: Aortic valve replacement, full median sternotomy, upper ministernotomy


 
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How to Cite this Article
Pubmed Style

Tamura A, Nakata H, Sato T, Yoshizaki T. Aortic valve replacement outcome using upper ministernotomy: A prospective comparison of the upper ministernotomy and conventional full median sternotomy. Arch Clin Exp Surg. 2015; 4(2): 69-73. doi:10.5455/aces.20140606054807


Web Style

Tamura A, Nakata H, Sato T, Yoshizaki T. Aortic valve replacement outcome using upper ministernotomy: A prospective comparison of the upper ministernotomy and conventional full median sternotomy. http://www.ejmaces.com/?mno=159234 [Access: August 17, 2018]. doi:10.5455/aces.20140606054807


AMA (American Medical Association) Style

Tamura A, Nakata H, Sato T, Yoshizaki T. Aortic valve replacement outcome using upper ministernotomy: A prospective comparison of the upper ministernotomy and conventional full median sternotomy. Arch Clin Exp Surg. 2015; 4(2): 69-73. doi:10.5455/aces.20140606054807



Vancouver/ICMJE Style

Tamura A, Nakata H, Sato T, Yoshizaki T. Aortic valve replacement outcome using upper ministernotomy: A prospective comparison of the upper ministernotomy and conventional full median sternotomy. Arch Clin Exp Surg. (2015), [cited August 17, 2018]; 4(2): 69-73. doi:10.5455/aces.20140606054807



Harvard Style

Tamura, A., Nakata, H., Sato, T. & Yoshizaki, T. (2015) Aortic valve replacement outcome using upper ministernotomy: A prospective comparison of the upper ministernotomy and conventional full median sternotomy. Arch Clin Exp Surg, 4 (2), 69-73. doi:10.5455/aces.20140606054807



Turabian Style

Tamura, Atsushi, Hiroko Nakata, Tetsuya Sato, and Takamichi Yoshizaki. 2015. Aortic valve replacement outcome using upper ministernotomy: A prospective comparison of the upper ministernotomy and conventional full median sternotomy. Archives of Clinical and Experimental Surgery (ACES), 4 (2), 69-73. doi:10.5455/aces.20140606054807



Chicago Style

Tamura, Atsushi, Hiroko Nakata, Tetsuya Sato, and Takamichi Yoshizaki. "Aortic valve replacement outcome using upper ministernotomy: A prospective comparison of the upper ministernotomy and conventional full median sternotomy." Archives of Clinical and Experimental Surgery (ACES) 4 (2015), 69-73. doi:10.5455/aces.20140606054807



MLA (The Modern Language Association) Style

Tamura, Atsushi, Hiroko Nakata, Tetsuya Sato, and Takamichi Yoshizaki. "Aortic valve replacement outcome using upper ministernotomy: A prospective comparison of the upper ministernotomy and conventional full median sternotomy." Archives of Clinical and Experimental Surgery (ACES) 4.2 (2015), 69-73. Print. doi:10.5455/aces.20140606054807



APA (American Psychological Association) Style

Tamura, A., Nakata, H., Sato, T. & Yoshizaki, T. (2015) Aortic valve replacement outcome using upper ministernotomy: A prospective comparison of the upper ministernotomy and conventional full median sternotomy. Archives of Clinical and Experimental Surgery (ACES), 4 (2), 69-73. doi:10.5455/aces.20140606054807





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