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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

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Long-term outcomes following minimal invasive versus conventional aortic valve replacement: a propensity match

I Gasparovic, P Artemiou, V Hudec

    Bratislavske Lekarske Listy
    |October 21, 2017
    PubMed
    Abstract

    Insights

    Minimal invasive aortic valve replacement (MIAVR) shows comparable 5-year survival and outcomes to conventional aortic valve replacement (AVR). MIAVR is a safe option for selected patients, offering excellent long-term results.

    Area of Science:

    • Cardiovascular Surgery
    • Minimally Invasive Procedures

    Background:

    • Minimal invasive aortic valve replacement (MIAVR) is increasingly routine.
    • Conventional aortic valve replacement (AVR) is the standard procedure.

    Purpose of the Study:

    • Compare outcomes of MIAVR via partial upper sternotomy with conventional AVR.
    • Evaluate 5-year survival and postoperative results.

    Main Methods:

    • Propensity match analysis of 34 MIAVR patients (2010-2013) vs. 34 conventional AVR patients.
    • Comparison of early and late postoperative outcomes, mortality, and survival rates.

    Main Results:

    • No significant difference in early or late postoperative outcomes between MIAVR and AVR groups.
    • MIAVR had longer cross-clamp and bypass times (p<0.002).
    • 5-year survival: 95.8% for MIAVR vs. 83.3% for AVR (p=0.37).

    Conclusions:

    • MIAVR demonstrates comparable 5-year survival and postoperative outcomes to conventional AVR.
    • MIAVR can be safely performed in selected patients with excellent long-term results.
    Keywords:
    minimal access aortic valve replacement partial upper sternotomy.

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