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Article Type

Article

Subject Area

Cardiothoracic Surgery

Abstract

Background In cardiac surgery, minimally invasive surgical procedures have recently been adopted. These innovative procedures have a number of benefits, including less postoperative discomfort, fewer morbidity and mortality, faster recovery, and shorter hospital stays at lower costs. Patients and methods Outcomes of 30 patients who underwent isolated aortic valve replacement, were subjected to a prospective comparative study, were compared. In group A (n = 15) minimally invasive right anterior mini-thoracotomy approach and in group B (n = 15) conventional median sternotomy approach had been used. Results The second group had much higher total morbidity than the first. In group A, blood loss was 335.3 ± 174.5, while in group B, it was 633.3 ± 179.9. In group B, postoperative discomfort was much higher. In both groups, inotropes were determined to be negligible. Group B had a longer total hospital stay (101.7 days) than group A (5.60.6 days). Conclusion In patients undergoing isolated aortic valve replacement, a right anterior mini-thoracotomy lowers postoperative pain, the requirement for blood transfusions, assisted ventilation time, and hospital stay.

Keywords

Aortic valve replacement, minimally invasive, right mini-thoracotomy

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