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Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
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Published on: March 26, 2018

Less invasive cardiac surgery via partial sternotomy.

Chen-Yuan Hsiao1, Chih-Pei Ou-Yang, Cheng-Hsiung Huang

  • 1Division of Cardiovascular Surgery, Department of Surgery, National Yang-Ming University School of Medicine, and Taipei Veterans General Hospital, Taipei, Taiwan, ROC.

Journal of the Chinese Medical Association : JCMA
|December 19, 2012
PubMed
Summary

Partial sternotomy offers a viable approach for less invasive cardiac surgery, demonstrating acceptable preliminary outcomes without mortality in this study. This technique allows for various procedures, including valve repair and replacement.

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Area of Science:

  • Cardiovascular Surgery
  • Minimally Invasive Procedures

Background:

  • Less invasive cardiac surgery is increasingly adopted.
  • Partial sternotomy (upper or lower) is a key approach for these procedures.

Purpose of the Study:

  • To report the outcomes of cardiac surgery performed via partial sternotomy.
  • To evaluate the feasibility and safety of this less invasive approach.

Main Methods:

  • Retrospective review of 35 patients undergoing cardiac surgery via upper or lower partial sternotomy from August 2009 to September 2010.
  • Analysis of preoperative characteristics, operative variables, mortality, and morbidity.

Main Results:

  • Thirty-five patients (31% female, mean age 66 years) underwent various procedures including valve replacements/repairs and other cardiac surgeries.
  • No mortality was observed; morbidity included respiratory failure (2 patients), unstable sternum (1), and conversion to full sternotomy (1).
  • Standard cardiopulmonary bypass and cardioplegia administration were utilized effectively.

Conclusions:

  • Partial sternotomy provides adequate surgical exposure for diverse cardiac operations.
  • Conventional cardiopulmonary bypass and cardioplegia are compatible with this approach.
  • The immediate preliminary outcomes of cardiac surgery via partial sternotomy are acceptable.