Comparison of right anterolateral thorocotomy with standard median steronotomy for mitral valve replacement

The objectives of this study were to compare and analyze the results of right anterolateral thoracotomy and median sternotomy approach for primary mitral valve replacement with reference to the exposure during Valve Replacement , length of surgical incision, mean cross clamp time, mean bypass time,...

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Published in:International cardiovascular research journal 2013-03, Vol.7 (1), p.15-20
Main Authors: Ahmad Shah, Zamir, Ahangar, Abdual Gani, Ganie, Farooq Ahmad, Wani, Mohd Lateef, Lone, Hafeezulla, Wani, Nasir Ud Din, Wani, Shadab Nabi, Muzamil, Irteka, Gani, Masaratul
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Language:English
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Summary:The objectives of this study were to compare and analyze the results of right anterolateral thoracotomy and median sternotomy approach for primary mitral valve replacement with reference to the exposure during Valve Replacement , length of surgical incision, mean cross clamp time, mean bypass time, intensive care unit (ICU) stay, hospitalization, overall comorbidity with sternotomy; sepsis, dehiscence, healing cosmetic issues and cost effectiveness. The present study comprised 68 patients with rheumatic mitral valve disease who underwent mitral valve replacement in the Department ofCardiovascular and Thoracic Surgery at Sher‑i‑Kashmir Institute of Medical Sciences from September 2009 to August 2011. This study comprised 64 patients with 23 (35.9%) males and 41 (64.1%) females. Sternotomy group had 10 males (31.3%) and 22 females (68.7%). Thoracotomy group had 13 males (40.6%) and 19(59.4%) females. The length of incision between the two groups was statistically significant (P
ISSN:2251-9130
2251-9149