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Ann Thorac Surg 1999;67:1333
© 1999 The Society of Thoracic Surgeons

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Invited Commentary

^a Department of Surgery, East Carolina University School of Medicine, Greenville, North Carolina27858, USA

Invited commentary

Dr Karagoz and colleagues have compared the subxiphoid incision to both a ministernotomy and a full sternotomy for mitral valve replacement. In their series they either repaired or replaced 56 mitral valves using a lower ministernotomy with subxiphoid entry. Although each of the other patient cohorts was relatively small (full sternotomy, n = 29, superior ministernotomy, n = 11), they have made valid comparisons, and determined that little difference existed between the approaches regarding patient recovery and postoperative pain. However, when compared with a full sternotomy, the subxiphoid approach . . . [Full Text of this Article]

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Minimally invasive mitral valve surgery: the subxiphoid approach

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Ann. Thorac. Surg. 1999 67: 1328-1332. [Abstract] [Full Text] [PDF]