HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Author home page(s): William A. Killinger, Jr Ivan K. Crosby Stanton P. Nolan Irving L. Kron Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Tribble, C. G. Articles by Kron, I. L. Search for Related Content PubMed PubMed Citation Articles by Tribble, C. G. Articles by Kron, I. L.

Ann Thorac Surg 1995;59:255-256
© 1995 The Society of Thoracic Surgeons

---

Articles

Anterolateral thoracotomy as an alternative to repeat median sternotomy for replacement of the mitral valve

^* Addres reprint requests tto Dr. Tribble, Department of Surgery, University of Virginia Medical Center, Box 181-95, Charlottesville, VA 22908.

Median sternotomy is the most common approach for repeat cardiac surgery despite the potential complications of cardiac injury. Right anterolateral thoracotomy has been recommended as an alternative for patients undergoing mitral valve replacement, but data supporting one approach over the other do not exist, To compare these procedures, the records of 43 patients who had had a previous median sternotomy and who underwent mitral valve replacement were reviewed. No statistically significant differences between patients undergoing repeat median sternotomy (33 patients) and those undergoing right anterolateral thoracotomy (10 patients) were demonstrable when compared for age, gender, New York Heart Association Functional Class, other diseased valves, urgency of operation, indication for operation, type of valve removed, type of valve implanted, length of post operative hospitalization, length of operation, days of ventilatory support, length of intensive care unit stay, and survival (90% for thoracotomy group; 76% for median sternotomy group; p, NS). Significant differences between the two groups, favoring right anterolateral thoracotomy, were apparent when comparisons were made for length of perfusion (means, 94.8 min, thoracotomy group; 121.4 min, sternotomy group; p = .03), incidence of reexploration (0%, thoracotomy group; 13%, sternotomy group; p = .001), and blood transfusion (means, 5.3 units, thoracotomy group; 11.4 units, sternotomy group; p = .003). Right anterolateral thoracotomy is an effective alternative to repeat median sternotomy for replacement of the mitral valve in patients who have had a previous median sternotomy.

This article has been cited by other articles:

				N. Durrleman and G. Massard Sternotomy MMCTS, January 1, 2006; 2006(0810): mmcts.2006.001875 - mmcts.2006.001875. [Abstract] [Full Text] [PDF]

				J. G. Byrne, S. F. Aranki, D. H. Adams, R. J. Rizzo, G. S. Couper, and L. H. Cohn Mitral valve surgery after previous CABG with functioning IMA grafts Ann. Thorac. Surg., December 1, 1999; 68(6): 2243 - 2247. [Abstract] [Full Text] [PDF]

				C.-T. Huang, F. G. Duhaylongsod, W. R. Burfeind Jr, C.-H. Lin, T. Morota, and T. Kawata Feasibility study of a mechanical suturing device for less invasive mitral operations Ann. Thorac. Surg., September 1, 1998; 66(3): 1029 - 1031. [Abstract] [Full Text] [PDF]

				W. R. Chitwood Jr., C. L. Wixon, J. R. Elbeery, J. F. Moran, W. H. H. Chapman, and R. M. Lust VIDEO-ASSISTED MINIMALLY INVASIVE MITRAL VALVE SURGERY J. Thorac. Cardiovasc. Surg., November 1, 1997; 114(5): 773 - 782. [Abstract] [Full Text]

				W. R. Chitwood Jr, J. R. Elbeery, and J. F. Moran Minimally Invasive Mitral Valve Repair Using Transthoracic Aortic Occlusion Ann. Thorac. Surg., May 1, 1997; 63(5): 1477 - 1479. [Abstract] [Full Text]

				A. S. Kumar Anterolateral thoracotomy for mitral valve replacement Ann. Thorac. Surg., November 1, 1995; 60(5): 1461 - 1461. [PDF]