Comparing Aortic Valve Replacement through Right Anterolateral Thoracotomy with Median Sternotomy
Abdul Gani Ahangar
1
,
Aakib Hamid Charag
1
,
Mohd Lateef Wani
1
, *
,
Farooq Ahmad Ganie
2
,
Shyam Singh
1
,
Syed Asrar Ahmad Qadri
1
and
Zameer Ahmad Shah
1
1 Department of Cardiovascular and Thoracic Surgery, Soura, Kashmir, India
2 India
*
Corresponding author: Mohd Lateef Wani, Department of Cardiovascular and Thoracic Surgery, Soura, Kashmir, India
latifs_dr@yahoo.com
International Cardiovascular Research Journal: March 31, 2017, 7 (3) ; e12423
Published Online :
September 30, 2013
Article Type: Research Article
Received:
May 03, 2017
Accepted:
July 14, 2013
To Cite:
Ahangar
A G , Charag
A H , Wani
M L , Ganie
F A , Singh
S , et al. Comparing Aortic Valve Replacement through Right Anterolateral Thoracotomy with Median Sternotomy,
Int Cardio Res J.
2017
; 7(3):e12423.
Abstract
Background: Aortic Valve Replacement (AVR) is usually done through median sternotomy. The present study aimed to compare the right anterolateral thoracotomy and median sternotomy approaches for AVR.
Materials and Methods: The present prospective study was conducted on 60 patients who had aortic valve disease and were subjected to AVR. Thirty patients underwent aortic valve replacement via right anterolateral thoracotomy (study group) and thirty patients via median sternotomy (control group). Statistical analysis was done using Mann Whitney U test and Fischer’s Exact test. Statistical Package SPSS 17 was used for data analysis.
Results: The mean length of the incision was 18.7±1.8 cm in the patients who had undergone AVR through median sternotomy, while 7.8±0.9 cm in the study group patients. Besides, the mean bypass time was 121.8±18.6 minutes for the patients who had undergone AVR through median sternotomy, while 122.1±20.8 minutes for the study group. In addition, the mean aortic cross clamp time was 67.7±13.4 minutes for the patients who had undergone AVR through median sternotomy, while 68.0±8.9 minutes for the study group. The mean operating time was 181.6±31.5 minutes for the patients who had undergone AVR through median sternotomy, while 190.8±29.8 minutes for the study group. Patient satisfaction with respect to cosmesis was higher in the study group. Only 50% of the patients who had undergone AVR through median sternotomy in comparison to 73.3% of those in the study group were satisfied with the cosmesis.
Conclusions: The right anterolateral thoracotomy approach for aortic valve replacement proved to be easy to perform whilst maintaining the maximum security for the patients. Besides its better cosmetic result especially in female patients, this approach proved to have several advantages.
© 0, Shiraz University of Medical Sciences.
References
1.
The references are available in PDF.
Except where otherwise noted, this work is licensed under
Creative Commons Attribution Non Commercial 4.0 International License .
Readers' Comments