Objective To compare clinical and health economic outcomes after manubrium-limited mini-sternotomy (intervention) conventional median sternotomy (usual care). Design A single-blind, randomised controlled trial. Setting Single centre UK National Health Service tertiary hospital. Participants Adult patients undergoing aortic valve replacement (AVR) surgery. Interventions Intervention was performe...

Abstract Aim In view of the increasing interest in Upper mini-sternotomy (UMS) as an alternative approach for conventional full sternotomy AVR (FS), we aimed to compare early and mid-term results between UMS Full-sternotomy AVR. Method This is a retrospective study 231 patients who had aortic valve replacement via upper mini compared with their (FS). Baseline characteristics, operative postoper...

OBJECTIVES Minimally invasive surgical approaches for aortic valve replacement (AVR) are growing in popularity in an attempt to decrease morbidity from conventional surgery. We have adopted a technique that divides only the manubrium and spares the body of the sternum. We sought to determine whether patients benefit from this less-invasive approach. METHODS We retrospectively analysed our pro...

BACKGROUND AND AIM OF THE STUDY The study aim was to determine the safety and efficacy of a minimally invasive right mini-thoracotomy for aortic valve replacement (AVR) in patients who had undergone previous median sternotomy. METHODS Between January 2005 and December 2011, a total of 3,603 consecutive cases was retrospectively reviewed to identify patients with previous median sternotomy who...

OBJECTIVE To compare inverted-L mini-sternotomy performed above the sternal furcula with conventional sternotomy in patients with aortic valve diseases who undergo surgical treatment. METHODS We operated upon 30 patients who had aortic valve lesions that had clinical and hemodynamic findings. All patients underwent inverted-L sternotomy, which extended from above the manubrium of the sternum ...

OBJECTIVES The proportion of minimally invasive approaches is rising in cardiac surgery, in part driven by increasing patient demand. This study aimed to perform a risk-adjusted comparison of mortality, rate of stroke and perioperative morbidity of aortic valve replacement (AVR) conducted through either partial mini-sternotomy or conventional sternotomy. METHODS Between July 2009 and July 201...

An alternative technique for minimally invasive aortic valve replacement and atrial septal defect repair is described. After a 5-cm skin incision, a key-lock type sternotomy is made. Excellent exposure of the right atrium and aortic valve was achieved. The configuration of the mini-sternotomy (or the lock) limits the movement of the sternal surfaces (or the key) on the lateral and craniocaudal ...