Assessment Based on EuroSCORE of Ministernotomy for Aortic Valve Replacement

To assess the advantages of a ministernotomy over a standard sternotomy for aortic valve replacement, 191 patients were classified as low-, medium-, and high-risk by EuroSCORE. A ministernotomy was carried out in 100 patients, and a standard sternotomy was used in 91. Among low-risk patients, those...

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Bibliographic Details
Published in:Asian cardiovascular & thoracic annals 2004-03, Vol.12 (1), p.53-57
Main Authors: De Smet, Jean-Marie, Rondelet, Benoit, Jansens, Jean-Luc, Antoine, Martine, De Canniere, Didier, Le Clerc, Jean-Louis
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Aortic Valve Insufficiency - diagnosis
Aortic Valve Insufficiency - mortality
Aortic Valve Insufficiency - surgery
Aortic Valve Stenosis - diagnosis
Aortic Valve Stenosis - mortality
Aortic Valve Stenosis - surgery
Belgium
Female
Follow-Up Studies
Heart Valve Prosthesis Implantation - methods
Heart Valve Prosthesis Implantation - mortality
Humans
Length of Stay
Logistic Models
Male
Middle Aged
Minimally Invasive Surgical Procedures - methods
Minimally Invasive Surgical Procedures - mortality
Pain, Postoperative
Postoperative Complications
Probability
Retrospective Studies
Risk Assessment
Severity of Illness Index
Sternum - surgery
Survival Rate
Thoracotomy - methods
Treatment Outcome
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Summary:To assess the advantages of a ministernotomy over a standard sternotomy for aortic valve replacement, 191 patients were classified as low-, medium-, and high-risk by EuroSCORE. A ministernotomy was carried out in 100 patients, and a standard sternotomy was used in 91. Among low-risk patients, those who had a ministernotomy showed a marginal increase in atrial fibrillation. Of the medium-risk patients, those who had a sternotomy had significantly more atrial fibrillation and slightly more general infections. In the high-risk subgroup, significantly more atrial fibrillation was observed in the sternotomy group, and more neurologic events were observed in the ministernotomy group; the difference became nonsignificant when only severe events were considered. There was a significant benefit in terms of rhythm disturbances in medium- and high-risk patients who underwent a ministernotomy compared to those who had a full sternotomy. Mortality, duration of intensive care, and hospital stay were not influenced by the operative method.
ISSN:0218-4923
1816-5370
DOI:10.1177/021849230401200113