Comparing Aortic Valve Replacement through Right Anterolateral Thoracotomy with Median Sternotomy

Abdul Gani  Ahangar; Aakib Hamid  Charag; Mohd Lateef  Wani; Farooq Ahmad  Ganie; Shyam  Singh; Syed Asrar Ahmad Qadri; Zameer  Ahmad Shah

International Cardiovascular Research Journal

The Official Annually Journal of Cardiovascular Research Center, Shiraz University of Medical Sciences

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Comparing Aortic Valve Replacement through Right Anterolateral Thoracotomy with Median Sternotomy

Author(s):

Abdul Gani Ahangar¹,

Aakib Hamid Charag¹,

Mohd Lateef Wani^1,*,

Farooq Ahmad Ganie²,

Shyam Singh¹,

Syed Asrar Ahmad Qadri¹,

Zameer Ahmad Shah¹

1Department of Cardiovascular and Thoracic Surgery, Soura, Kashmir, India

2India

International Cardiovascular Research Journal:Vol. 7, issue 3; e12423

Published online:Sep 30, 2013

Article type:Research Article

Received:May 03, 2017

Accepted:Jul 14, 2013

How to Cite:Ahangar A G, Charag A H, Wani M L, Ganie F A, Singh S, et al. Comparing Aortic Valve Replacement through Right Anterolateral Thoracotomy with Median Sternotomy.Int Cardiovasc Res J.2013;7(3):e12423.

Abstract

Background: Aortic Valve Replacement (AVR) is usually done through median sternotomy. The present study aimed to compare the right anterolateral thoracotomy and median sternotomy approaches for AVR.

Materials and Methods: The present prospective study was conducted on 60 patients who had aortic valve disease and were subjected to AVR. Thirty patients underwent aortic valve replacement via right anterolateral thoracotomy (study group) and thirty patients via median sternotomy (control group). Statistical analysis was done using Mann Whitney U test and Fischer’s Exact test. Statistical Package SPSS 17 was used for data analysis.

Results: The mean length of the incision was 18.7±1.8 cm in the patients who had undergone AVR through median sternotomy, while 7.8±0.9 cm in the study group patients. Besides, the mean bypass time was 121.8±18.6 minutes for the patients who had undergone AVR through median sternotomy, while 122.1±20.8 minutes for the study group. In addition, the mean aortic cross clamp time was 67.7±13.4 minutes for the patients who had undergone AVR through median sternotomy, while 68.0±8.9 minutes for the study group. The mean operating time was 181.6±31.5 minutes for the patients who had undergone AVR through median sternotomy, while 190.8±29.8 minutes for the study group. Patient satisfaction with respect to cosmesis was higher in the study group. Only 50% of the patients who had undergone AVR through median sternotomy in comparison to 73.3% of those in the study group were satisfied with the cosmesis.

Conclusions: The right anterolateral thoracotomy approach for aortic valve replacement proved to be easy to perform whilst maintaining the maximum security for the patients. Besides its better cosmetic result especially in female patients, this approach proved to have several advantages.

Keywords

Thoracotomy

Sternotomy

Aortic Valve

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