Clinical outcomes of right anterior mini-thoracotomy aortic valve surgery: A propensity score matching study
- VernacularTitle:右侧第2肋间小切口主动脉瓣手术临床效果的倾向性评分匹配研究
- Author:
Zeyuan ZHAO
1
;
Chenyi CUI
1
;
Jiahui LI
1
;
Xianjie CHEN
1
;
Zhao LI
1
;
Zhenchang QI
1
;
Sheng WANG
1
;
Zhaoyun CHENG
1
Author Information
1. Department of Cardiac Surgery, Central China Fuwai Hospital of Zhengzhou University, Zhengzhou, 451464, P. R. China
- Publication Type:Journal Article
- Keywords:
Aortic insufficiency;
aortic valve replacement;
minimally invasive cardiac surgery;
propensity score matching analysis
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2025;32(12):1747-1753
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare perioperative outcomes of minimally invasive aortic valve surgery by a right anterior minithoracotomy (RAMT) and conventional sternotomy. Methods A retrospective analysis of patients who underwent isolated aortic valve surgeries in Central China Fuwai Hospital of Zhengzhou University between May 2021 and August 2023 with a minimal incision via the RAMT approach (a RAMT group) or conventional incision via the full sternotomy approach (a conventional group). A propensity score matching analysis was performed to balance preoperative data and compare perioperative data of the two groups. Results There were 58 patients in the RAMT group, including 46 males and 12 females with an average age of (52.0±14.1) years; 128 patients were enrolled in the conventional group, including 87 males and 41 females with an average age of (60.0±12.4) years. After propensity-score matching, there were 51 patients in each group. The RAMT group had a longer average operation time, cross-clamping time and cardiopulmonary bypass time compared to the conventional group (all P<0.05). However, ICU length of stay, ventilator-assisted time and postoperative hospital stay were significantly shorter in the RAMT group (all P<0.05). Patients in the RAMT group had lower 24 hour chest drain output (P<0.05). RAMT was associated with a trend towards a lower blood transfusion rate in comparison to the sternotomy group, although this was not statistically significant (P>0.05). The occurrence of all-cause death, and perioperative complications was also similar in both groups (P>0.05). Conclusion RAMT has less trauma, faster recovery, less postoperative drainage, and shorter hospital stay than conventional approach. RAMT in patients undergoing isolated aortic valve surgery is a safe approach.
