الفهرس Only 14 pages are availabe for public view
 |  | from | 205 |  |  |
| | | from | 205 | | |
Abstract
background and objectives Although both minimally invasive right anterolateral minithoracotomy and median sternotomy have been used for mitral valve surgery (repair / replacement), the latter approach is considered standard for mitral valve surgery. It was hypothesized that mitral valve surgery, if performed through a right anterolateral minithoracotomy, would be better accepted cosmetically by patients, but also make redo surgery through a median sternotomy easy and trouble free from re-entry bleeding and less postoperative complication. The aim of the study was to evaluate and compare procedure and early postoperative outcome of minimally invasive right anterolateral minithoracotomy in comparison with median sternotomy in mitral valve surgery. PATIENTS and METHODS Forty patients with mitral valve disease were nonrandomized into two equal groups; group 2A3 underwent mitral valve surgery through a minimally invasive right anterolateral minithoracotomy. group 2B3 underwent mitral valve surgery through a median sternotomy. The mean age for group A was 43.04 ± 12.62 with a range from 23-61 years. The mean age for group 2B3 was 49.8 ± 11.79 with a range of 29-66 years. Standard aortic and bicaval cannulation with antegrade blood cardioplegia was adopted in group2B3, while femoral (venous, arterial) cannulation with antegrade blood cardioplegia was adopted in group 2A3. RESULTS There was no statistical difference between the two groups preoperatively regarding their age, sex, NYHA class, EF%, LA dimension, spirometric study. There was no operative mortality, but few postoperative complications occurred in both groups. Total hospital stay, ICU stay, postoperative bleeding, inotropic requirement, ventilatory support and blood transfusion were less in group 2A3 with highly significant statistical difference (P-value < 0.01), with better cosmetic appearance