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Related Experiment Video

Updated: Sep 15, 2025

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
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Minimally Invasive Aortic Root Surgery (Mini-Bentall): Case Series Study.

Harun Avdagic1, Mustafa Tabakovic1, Miha Antonic2

  • 1Clinic of Cardiovascular Surgery, University Clinical Centre Tuzla, Bosnia and Herzegovina.

Medical Archives (Sarajevo, Bosnia and Herzegovina)
|July 14, 2025
PubMed
Summary
This summary is machine-generated.

The upper mini sternotomy Bentall procedure offers a less invasive approach for aortic root surgery, leading to reduced hospital stays and costs. This minimally invasive aortic root surgery (MSARS) shows significant benefits for patient recovery and healthcare efficiency.

Keywords:
Bentall operationaortic stenosismini sternotomy aortic root surgery

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Area of Science:

  • Cardiac Surgery
  • Minimally Invasive Surgery
  • Aortic Root Surgery

Background:

  • The traditional Bentall-DeBono procedure involves a full sternotomy.
  • The upper mini sternotomy Bentall (mini-Bentall) procedure is a less invasive alternative.
  • Potential benefits include reduced trauma and faster recovery.

Purpose of the Study:

  • Evaluate the efficacy and safety of mini sternotomy aortic root surgery (MSARS).
  • Assess MSARS's potential to reduce surgical trauma, improve recovery, and lower healthcare costs.
  • Compare MSARS with traditional full sternotomy approaches.

Main Methods:

  • The study utilized the upper mini sternotomy (UMS) approach in ten patients.
  • Standardized surgical procedures and rigorous postoperative care were implemented.
  • Data on complications, ICU stay, and hospital stay were collected and analyzed.

Main Results:

  • MSARS significantly reduced postoperative complications, ICU stay (27 vs. 105 hours), and overall hospital stay (7 vs. 11 days).
  • The procedure demonstrated cost-effectiveness due to decreased ICU resource utilization and shorter hospital stays.
  • Median hospital stay was reduced by 4 days compared to traditional sternotomy.

Conclusions:

  • Mini sternotomy aortic root surgery (MSARS) via partial upper sternotomy is a safe alternative to full median sternotomy.
  • MSARS offers substantial benefits in patient outcomes and healthcare efficiency.
  • This technique represents a significant advancement in cardiac surgery.