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Updated: Aug 6, 2026
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Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots
Published on: May 21, 2017
[Aortic valve replacement through a partial sternotomy]
Takao Imazeki1, Yoshihito Irie
1Department of Cardiovascular Surgery, Dokkyo Medical University, Koshigaya Hospital, Japan.
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|August 17, 2006
Summary
Partial sternotomy offers a safe and effective minimally invasive approach for aortic valve replacement, reducing hospital stays compared to traditional median sternotomy.
Area of Science:
- Cardiovascular Surgery
- Minimally Invasive Surgery
- Thoracic Surgery
Context:
- Median sternotomy is the standard approach for cardiac surgery.
- Partial sternotomy presents an alternative minimally invasive technique.
- Assessing the entire heart can be challenging with partial sternotomy.
Purpose:
- To evaluate the pitfalls and outcomes of aortic valve replacement using partial sternotomy.
- To compare the results of partial sternotomy with conventional median sternotomy.
Summary:
- A single surgeon performed 108 aortic valve replacements using upper and lower partial sternotomy between 1997 and 2005.
- The study reported a 1.9% mortality rate.
- While aortic cross-clamp time was slightly longer, ICU and hospital stays were shorter than with median sternotomy.
Impact:
- Partial sternotomy is a safe and routine option for aortic valve replacement.
- Minimally invasive cardiac surgery can lead to shorter patient recovery times.
- This approach demonstrates feasibility for widespread clinical adoption.
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