Method Between December 2010 and March 2012 627 patients underwent isolated AVR were retrospectively included in two groups: 599 patients underwent FS-AVR sternotomy (Group A), while 28 underwent minimally invasive procedure (Group B). Mini-AVR was performed through a 6 cm upper midline incision with reverse ‘J’ manubriotomy carried into the right third intercostal space. Venous drainage for ca...

Methods 236 patients were included in our study, to whom aortic valve was replaced. The purpose of this study was to examine the potential benefit of double venous cannulation through superior vena cava (SVC) for venous drainage for aortic valve replacement (AVR) in upper mini-sternotomy and right mini-thoracotomy approaches. Five to 7 cm skin incision was made at the level of third intercostal...

Patient Selection Several surgical approaches have been described for the management of adult patients with acquired heart disease and paraductal coarctation of the aorta. A staged procedure using both median sternotomy and left thoracotomy, a catheter-based intervention of the coarctation combined with sternotomy, and single-stage simultaneous correction of both lesions via sternotomy are some...

OBJECTIVES Ischaemic heart disease is the leading cause of death in the elderly population. Coronary artery bypass graft (CABG) surgery via sternotomy remains the standard of care for patients with multivessel coronary artery disease (CAD). Minimally invasive cardiac surgery (MICS)-CABG via left thoracotomy has been used as an alternative to sternotomy. The aim of our study was to assess the ov...

Post-sternotomy mediastinitis is a serious complication after cardiothoracic surgery and contribute significantly to post-operative morbidity, mortality, and healthcare costs. Negative pressure wound therapy is today's golden standard for post-sternotomy mediastinitis treatment. A systematic literature search was conducted at PubMed until October 2012 to analyse whether vacuum-assisted closure ...

Median sternotomy has unquestionably evolved over recent decades. Modern sternotomy involves a 7-8 cm lower midline skin incision, tunneling of the subcutaneous tissues with subsequent creation of myocutaneous flaps, full sternotomy, and standard cardiopulmonary bypass techniques with central cannulation. In experienced centers, modern sternotomy may achieve all the goals of minimally invasive ...

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...

Abstract Background The timing for heart surgery following cerebral embolization after cardiac valve vegetation is vital to postoperative recovery being uneventful, additionally Covid-19 may negatively affect the outcome. Minimally invasive methods and upgraded surgical instruments maximize benefits of also in complex revision cases with substantial perioperative risk. Case presentation A 68 y....

INTRODUCTION: Implementation of emergency endovascular aortic repair provides an opportunity to treat complicated acute syndromes involving descending aorta. CASE REPORT: A 40-year-old man with a history coarctation surgical as child and anastomosis aneurysm double stent graft implantation hemi-arch transposition was urgently admitted intensifying shortness breath hoarseness. computed tomograph...