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Updated: Sep 21, 2025
Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
Published on: March 26, 2018
Aortic valve replacement using minimally invasive surgery, a safe technique in our setting: experience of one center
Nora García1, Aníbal Bermúdez1, Tomás Daroca1
1Department of Cardiovascular Surgery, Hospital Puerta del Mar, Cádiz, Spain.
Aim:
The aim of this study was to analyze the results of minimum access surgery in comparison with conventional surgery, especially in relation to post-operative (PO) mortality.
Materials And Methods:
This study was retrospective observational study, employing regressions, and bivariate correlations in the statistical analysis. A total of 114 patients over 65 years of age referred to cardiac surgery: 57 subjects in the minimum access group and 57 subjects in the sternotomy group. The main variables of interest were: demographic variables, PO course, mainly mortality, as well as duration of admission to critical care and total admission time.
Results:
The mean age was 73.11 years, with 52.6% of women and 47.4% of men, and no significant differences between the pre-operative characteristics of either group. Regarding mortality, this was lower in the minimum access group, statistically significant in the analysis using bivariate correlations.
Conclusions:
Aortic valve replacement using a minimally invasive approach is a safe technique in our environment, despite its necessary learning curve.
