ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Michael F. Szwerc
Daniel H. Benckart
Robert J. Wiechmann
Edward B. Savage
Gary W. Szydlowski
James A. Magovern
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Szwerc, M. F.
Right arrow Articles by Magovern, J. A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Szwerc, M. F.
Right arrow Articles by Magovern, J. A.

Ann Thorac Surg 1999;68:2209-2213
© 1999 The Society of Thoracic Surgeons

Original Articles: Cardiovascular

Partial versus full sternotomy for aortic valve replacement

Michael F. Szwerc, MDa, Daniel H. Benckart, MDa, Robert J. Wiechmann, MDa, Edward B. Savage, MDa, Gary W. Szydlowski, MDa, George J. Magovern, Jr, MDa, James A. Magovern, MDa

a Department of Cardiothoracic Surgery, Allegheny University Hospitals, Allegheny General Hospital, Pittsburgh, Pennsylvania, USA

Address reprint requests to Dr James Magovern, Department of Cardiothoracic Surgery, Allegheny General Hospital, 320 E North Ave, Pittsburgh, PA 15212
e-mail: jmagover{at}pgh.auhs.edu

Background. Recent trends suggest that smaller incisions reduce postoperative morbidity. This study tests the hypothesis that a partial upper sternotomy improves patient outcome for aortic valve replacement.

Methods. A group of 50 patients who underwent aortic valve surgery through a partial upper sternotomy (group I) were compared to 50 patients who underwent aortic valve replacement through a median sternotomy during the same time period (group II). The mean age (60 ± 2 versus 63 ± 2 years; mean ± SEM) and preoperative ejection fractions (53 ± 2 versus 54 ± 2) were similar. Operations were performed with central cannulation, and antegrade/retrograde blood cardioplegia.

Results. There was one death in each group. No differences were found in aortic occlusion time, mediastinal drainage, transfusion incidence, narcotic requirement, length of stay, or cost. The incidence of pleural and pericardial effusions was increased (18.4% versus 3.9%, p < 0.03), and the need for postoperative inotropic support was higher (38.7% versus 19.6%, p < 0.03) in the partial sternotomy group.

Conclusions. Aortic valve replacement can be performed through a partial sternotomy with results comparable to full sternotomy. The partial sternotomy offers a cosmetic benefit, but does not significantly reduce postoperative pain, length of stay, or cost.




This article has been cited by other articles:


Home page
 Eur. J. Cardiothorac. Surg.Home page
M. Tabata, R. Umakanthan, L. H. Cohn, R. M. Bolman III, P. S. Shekar, F. Y. Chen, G. S. Couper, and S. F. Aranki
Early and late outcomes of 1000 minimally invasive aortic valve operations
Eur. J. Cardiothorac. Surg., April 1, 2008; 33(4): 537 - 541.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
B. Murtuza, J. R. Pepper, R. DeL Stanbridge, C. Jones, C. Rao, A. Darzi, and T. Athanasiou
Minimal Access Aortic Valve Replacement: Is It Worth It?
Ann. Thorac. Surg., March 1, 2008; 85(3): 1121 - 1131.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
M. A Moustafa, A. A Abdelsamad, G. Zakaria, and M. M Omarah
Minimal vs Median Sternotomy for Aortic Valve Replacement
Asian Cardiovasc Thorac Ann, December 1, 2007; 15(6): 472 - 475.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
I. Bakir, F. P. Casselman, F. Wellens, H. Jeanmart, R. De Geest, I. Degrieck, F. Van Praet, Y. Vermeulen, and H. Vanermen
Minimally invasive versus standard approach aortic valve replacement: a study in 506 patients.
Ann. Thorac. Surg., May 1, 2006; 81(5): 1599 - 1604.
[Abstract] [Full Text] [PDF]

Home page
 Asian Cardiovasc. Thorac. Ann.Home page
J.-M. De Smet, B. Rondelet, J.-L. Jansens, M. Antoine, D. De Canniere, and J.-L. Le Clerc
Assessment Based on EuroSCORE of Ministernotomy for Aortic Valve Replacement
Asian Cardiovasc Thorac Ann, March 1, 2004; 12(1): 53 - 57.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
S. C. Stamou, E. I. Kapetanakis, R. Lowery, K. A. Jablonski, T. L. Frankel, and P. J. Corso
Allogeneic blood transfusion requirements after minimally invasive versus conventional aortic valve replacement: a risk-Adjusted analysis
Ann. Thorac. Surg., October 1, 2003; 76(4): 1101 - 1106.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
N. Doll, M. A. Borger, J. Hain, J. Bucerius, T. Walther, J. F. Gummert, and F. W. Mohr
Minimal access aortic valve replacement: effects on morbidity and resource utilization
Ann. Thorac. Surg., October 1, 2002; 74(4): S1318 - 1322.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. Bonacchi, E. Prifti, G. Giunti, G. Frati, and G. Sani
Does ministernotomy improve postoperative outcome in aortic valve operation? A prospective randomized study
Ann. Thorac. Surg., February 1, 2002; 73(2): 460 - 465.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
L. Sun, J. Zheng, Q. Chang, Y. Tang, J. Feng, X. Sun, and X. Zhu
Aortic root replacement by ministernotomy: technique and potential benefit
Ann. Thorac. Surg., December 1, 2000; 70(6): 1958 - 1961.
[Abstract] [Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1999 by The Society of Thoracic Surgeons.