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《Chinese Journal of Cardiovascular Research》 2018-04
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A propensity score matched study of minimally invasive aortic valve replacement through right anterior minithoracotomy

ZHU Jia-quan;BAO Chun-rong;ZHANG Jun-wen;MEI Ju;Department of Cardiothoracic Surgery,Xinhua Hospital,Shanghai Jiaotong University School of Medicine;  
Objective To summarize the techniques and results of minimally invasive aortic valve replacement(A VR) through right anterior mini thoracotomy. Methods Patients with isolated aortic valve replacement from January 2010 to June 2017 were retrospectively reviewed. They were divided into two groups, the minimally invasive AVR group through right anterior minithoracotomy(MIAVR, n=65), and conventional AVR group from sternotomy(CAVR, n=182). Patients with ministernotomy were excluded. In MIAVR group, the cardiopulmonary bypass was established by peripheral cannulation from femoral artery and vein, A right parasternal transverse incision from the third intercostal space was used, and the aortic valve replacement was performed through the small incision. A logistic model was used in the propensity score matching(PSM) methods; gender, age, etiology of aortic valve, ejection fraction, and NYHA heart function were adjusted in the model. The matching ratio is one to one. The influence of minimally invasive techniques in the clinical outcomes of AVR was evaluated. Results There were 3 deaths, and all of them belonged to CAVR group(3/182, 1.6%). There was no transition to sternotomy and no reoperation in the MIAVR group. After propensity score matching,the new control group(PSMCAVR group) contained 65 patients, who had similar pre-operative baseline data as the MIAVR group. When compared to PSM-CAVR group, the cardiopulmonary bypass time and cross clamp time were significantly longer[(103.6±37.2)min vs.(88.3±27.2)min,P=0.01,(68.3±18.6)min vs.(48.8±18.9)min,P0.01]. In the MIAVR group, the length of ICU stay was(1.9±0.4)days,and the post-operative hospital stay time was(8.4±1.8)days,which were significantly lower than PSM-CAVR group [(2.4±0.9)d vs.(10.6±3.2)d, P0.01]. The pleural drainage during the first post-operative day was less in MIAVR group than that in PSM-AVR group [(281 ±53)ml vs.(432±88)ml,P0.01 ]. No differences of mortality, deep wound infection and transfusion rate were found between the groups(0% vs. 1.5%, P=0.32, 0% vs. 3.1%, P=0.15; 23.1% vs. 35.4%, P=0.13). Conclusion Minimally invasive aortic valve replacement from right anterior minithoracotomy is feasible and safe. Despite the procedure increases cardiopulmonary bypass time and cross clamp time, it can reduce drainage and facilitate post-operative recovery.
【Fund】: 国家临床重点专科项目;; 国家自然科学基金(项目编号:81600219);; 新华医院临床重点基金(项目编号:15LC03)
【CateGory Index】: R654.2
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【Citations】
Chinese Journal Full-text Database 4 Hits
1 Shen Jinqiang;Wei Lai;Xia Limin;Lai Hao;Sun Yongxin;Sun Xiaoning;Liu Chen;Yang Zhaohua;Wang Chunsheng;Department of Cardiovascular Surgery,Zhongshan Hospital,Fudan University;;Comparison of anterolateral minithoracotomy versus partial upper hemisternotomy in aortic valve replacement[J];中华外科杂志;2016-08
2 XU Lili;YOU Bin;GAO Feng;LI Ping;XU Qi;LIU Shuo;LI Guang;Department of Cardiac Surgery,Beijing Anzhen Hospital;;Comparsion between intercostal minimally invasive aortic valve replacement and the conventional thoracotomy:propensity score matching study[J];疑难病杂志;2015-01
3 JIANG Zhao-lei;MEI Ju;DING Fang-bao;ZHANG Yun-jiao;LIU Hao;ZHANG Jun-wen;SHEN Sai-e;YIN Hang;Department of Cardiothoracic Surgery,Xinhua Hospital,School of Medicine,Shanghai Jiaotong University;Department of Anesthesiology,Xinhua Hospital,School of Medicine,Shanghai Jiaotong University;;Right Anterior Minithoracotomy Versus Conventional Median Sternotomy for Aortic Valve Replacement[J];中国胸心血管外科临床杂志;2014-06
4 HUO Qiang,YAN Fei,QIAO Jun,et al. Department of Cardiovascular Surgery,the First Affiliated Hospital of Xinjiang Medical University, Urumuqi 830054,China;The use of limited sternotomy for heart valvar surgery[J];中国心血管病研究;2008-02
【Co-citations】
Chinese Journal Full-text Database 5 Hits
1 Qiu Zhibing;Chen Xin;Qin Wei;Huang Fuhua;Wang Liming;Jiang Yingshuo;Xu Ming;Xiao Liqiong;Qi Haoyu;Yin Li;Department of Cardiovascular Surgery,Nanjing Hospital Affiliated to Nanjing Medical University,Nanjing First Hospital;;Port-access minimally invasive versus sternotomy approach for aortic valve surgery[J];中国医师杂志;2019-01
2 Wang Pengkun;Thoracic Surgery, Pingdingshan First People's Hospital;;The application effect of minimally invasive incision in thoracic surgery[J];国际医药卫生导报;2018-17
3 ZHU Jia-quan;BAO Chun-rong;ZHANG Jun-wen;MEI Ju;Department of Cardiothoracic Surgery,Xinhua Hospital,Shanghai Jiaotong University School of Medicine;;A propensity score matched study of minimally invasive aortic valve replacement through right anterior minithoracotomy[J];中国心血管病研究;2018-04
4 ;Vitiligo around incision after surgical treatment of mitral valve:one case report[J];中国心血管病研究;2012-01
5 @LI Bo$Department of Cardiac Surgery,General Hospital of Shenyang Military Region of PLA!Shenyang 110083,China @FANG Min-hua$Department of Cardiac Surgery,General Hospital of Shenyang Military Region of PLA!Shenyang 110083,China @HAN Hong-guang$Department of Cardiac Surgery,General Hospital of Shenyang Military Region of PLA!Shenyang 110083,China;Treatment of sternal dehiscence after open heart surgery[J];中国心血管病研究杂志;2013-05
【Secondary Citations】
Chinese Journal Full-text Database 10 Hits
1 YANG Yong;GAO Feng;DONG Ping;JIA Shijie;HOU Xiaotong;YOU Bin;Department of Cardiac Surgery ICU,Beijing Anzhen Hospital,Capital Medical University,Beijing Institute of Heart,Lung and Blood Vessel Diseases;;Minimally invasive aortic valve replacement surgery of 24 patients[J];心肺血管病杂志;2014-05
2 XU Lili,YOU Bin,GAO Feng,LI Ping,XU Yi,LIU Shuo,LI Guang Department of Cardiac Surgery,Capital Medical University affiliated Beijing Anzhen Hospital,Beijing Institute of Heart,Lung and Blood Vessel Diseases,Beijing 100029,China;Experience of the mininally invasive cardiac surgery's cardiopulmonary bypass establishment[J];心肺血管病杂志;2013-05
3 SHEN Jin-qiang~*,WEI Lai,XIA Li-min,YANG Cheng,LUO Hong,HU Ke-jian, WANG Chun-sheng.* Department of Cardiovascular Surgery,Zhongshan Hospital,Fudan University, Shanghai 200032,China;Minimally invasive aortic valve replacement for isolated aortic valve disease:clinical analysis of 101 consecutive patients[J];中华外科杂志;2013-03
4 YOU Bin,GAO Feng,LI Ping,XU Yi,XU Li-li,LIU Shuo,LI Guang,QIN Guang-ning.Department of Cardiac Surgery,Anzhen Hospital,Capital Medical University,Beijing 100029,China;Clinical study of minimally invasive versus conventional sternotomy for aortic valve replacement[J];中华医学杂志;2012-40
5 WEI Lai~*,SHEN Jin-qiang,WANG Chun-sheng,XIA Li-min,YANG Zhao-hua,LIU Huan,ZHU Jia-si,LUO Hong,GUO Ke-fang,HU Ke-jian.*Department of Cardiovascular Surgery,Shanghai Institute of Cardiovascular Disease,Zhongshan Hospital,Fudan University,Shanghai 200032,China;Repair of posterior mitral valve prolapsed:comparative study of three different approaches[J];中华外科杂志;2012-07
6 GAO Feng,YOU Bing,LI Ping,XU Yi, XU Li-li,LIU Shuo,LI Guang,QIN Guang-ning.Department of Cardiac Surgery,Beijing Anzhen Hospital,Capital Medical University,Beijing 100029,China;Minimally invasive aortic valve replacement surgery and early follow-up results[J];中华胸心血管外科杂志;2012-06
7 JIN Hai, XU Zhi-yun, YU Wei-yong, ZHOU Liang-jian, MEI Ju, WANG Zhi-nong, CHEN He-zhong. (Department of Thoracic and Cardiovascular Surgery, Changhai Hospital, the Second Military Medical University, Shanghai 200433, P.R.China);Minimally Invasive Cardiac Valve Surgery: Report of 134 Cases[J];中国胸心血管外科临床杂志;2005-04
8 Wang Wenlin, Zeng Weisheng, Cai Kaican, et al. Department of Cardiothoracic Surgery, Guangzhou General Military Hospital, Guangzhou 510010;Anatomical evaluation of minor median thoracotomy[J];中国局解手术学杂志;2001-01
9 WANG Dongjing, WU Qingyu, YANG Xiubin, et al.Cardiovascular Department, Fuwai Hospital, CAMS and PUMC, Beijing 100037.;Minimally invasive approach for heart valve replacement:report of 73 cases[J];中华外科杂志;1999-04
10 SUN Guang-long,CAO Xiang-rong, ZHANG Fu-en,HUANG Guo-hui,ZHANG Jian-qun.Department of Cardiac Surgery,Beijing Anzhen Hospital, Capital Medical University,Beijing 100029,China;Clinical research on dissection of aorta after aortic valve replacement[J];中国医药;2013-03
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