Home Bratislava Medical Journal 2017 Bratislava Medical Journal Vol.118, No.8, p.479-484, 2017

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Published Monthly, in English
Founded: 1919
ISSN 0006-9248
(E)ISSN 1336-0345

Impact factor 1.564


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Bratislava Medical Journal Vol.118, No.8, p.479-484, 2017

Title: Long-term outcomes following minimal invasive versus conventional aortic valve replacement: a propensity match analysis
Author: I. Gasparovic, P. Artemiou, V. Hudec, M. Hulman

Abstract: INTRODUCTION: Minimal invasive aortic valve replacement has become a routine procedure. In this study, we compared the outcomes between conventional and minimal invasive aortic valve replacement via the partial upper sternotomy that were performed in our Institution.
METHODS: The 5 year survival and postoperative outcomes of 34 patients that underwent isolated MIAVR between the years 2010–2013 were compared with the outcomes of 34 randomly selected patients that underwent conventional AVR, after propensity match analysis.
RESULTS: There was no difference between the two groups concerning the early and late postoperative outcomes. MIAVR patients had a longer mean cross-clamp time (p = 0.002) and longer cardiopulmonary bypass time (p = 0.0005) compared to the AVR patients. 5 year mortality and survival were 4.17 % vs 16.67 % (p = 0.20) and 95.8 % vs 83.3 % (p = 0.37) in the MIAVR and AVR groups respectively.
CONCLUSION: This study showed a comparable 5 year survival and postoperative outcomes between the MIAVR and AVR groups. In our opinion, the minimal access aortic valve replacement can be performed safely with excellent long-term results in selected patients (Tab. 4, Fig. 1, Ref. 35).

Keywords: minimal access aortic valve replacement, partial upper sternotomy
Published online: 31-Aug-2017
Year: 2017, Volume: 118, Issue: 8 Page From: 479, Page To: 484

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