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 AG, Charag AH, Wani ML, Ganie FA, Singh S, et al. Comparing Aortic Valve Replacement through Right Anterolateral Thoracotomy with Median Sternotomy. Int Cardiovasc Res J. 2017;7(3):e12423. doi:

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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References

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Comparison of Right Anterolateral Thorocotomy with Standard Median Steronotomy for Mitral Valve Replacement

Zamir Ahmad Shah,

Abdual Gani Ahangar,

Farooq Ahmad Ganie,

Shadab Nabi Wani,

Mohd Lateef Wani,

Hafeezulla Lone

,et al.

Ahmad Shah Z, Gani Ahangar A, Ahmad Ganie F, Nabi Wani S, Wani ML, et al. Comparison of Right Anterolateral Thorocotomy with Standard Median Steronotomy for Mitral Valve Replacement. Int Cardiovasc Res J. 2017;7(1):e12724. doi:

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Minimally Invasive Aortic Valve Replacement, technique and results

Ahmad ali Amirghofran

Amirghofran AA. Minimally Invasive Aortic Valve Replacement, technique and results. Multidiscip Cardio Annal. 2015;6(1):e9042. doi:

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Comparative Study of Surgical Complications in Atrial Septal Defect Repair: Right Anterior Mini-thoracotomy Versus Classic Midline Sternotomy

Feridoun Sabzi,

Peshang Abdollah Hama Tofiq,

Atefeh Asadmobini,

Leila Solouki

Sabzi F, Hama Tofiq PA, Asadmobini A, Solouki L. Comparative Study of Surgical Complications in Atrial Septal Defect Repair: Right Anterior Mini-thoracotomy Versus Classic Midline Sternotomy. Int Cardiovasc Res J. 2025;19(1):e157987. doi: https://doi.org/10.5812/icrj-157987

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Right Anterior Minithoracotomy vs. Conventional Median Sternotomy in Surgical Ostium Secundum Atrial Septal Defect Closure: Assessment of Clinical Outcomes and Health-Related Quality of Life

Amir Mirmohammadsadeghi,

Bahare Firouzbakht,

Mohsen Mirmohammadsadeghi

Mirmohammadsadeghi A, Firouzbakht B, Mirmohammadsadeghi M. Right Anterior Minithoracotomy vs. Conventional Median Sternotomy in Surgical Ostium Secundum Atrial Septal Defect Closure: Assessment of Clinical Outcomes and Health-Related Quality of Life. Int Cardiovasc Res J. 2020;14(3):e103527. doi:

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First Successful HAART Ring-Assisted Aortic Valve Repair via Right Anterior Thoracotomy Approach

Alireza Alizadeh Ghavidel,

Mahzad Ghaemi,

Reza Khajehnoori,

Majid Yekrangi,

Alisam Alizadeh Ghavidel

Alizadeh Ghavidel A, Ghaemi M, Khajehnoori R, Yekrangi M, Alizadeh Ghavidel A. First Successful HAART Ring-Assisted Aortic Valve Repair via Right Anterior Thoracotomy Approach. Multidiscip Cardio Annal. 2025;16(1):e168943. doi: https://doi.org/10.69107/mca-168943

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Author(s):

Abdul Gani Ahangar:[PubMed][Scholar]
Aakib Hamid Charag:[PubMed][Scholar]
Mohd Lateef Wani:[PubMed][Scholar]
Farooq Ahmad Ganie:[PubMed][Scholar]
Shyam Singh:[PubMed][Scholar]
Syed Asrar Ahmad Qadri:[PubMed][Scholar]
Zameer Ahmad Shah:[PubMed][Scholar]

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

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