Assessment based on EuroSCORE of ministernotomy for aortic valve replacement
(2004) Asian Cardiovascular & Thoracic Annals — Vol. 12, n° 1, p. 53-57 (2004)
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- Abstract
- To assess the advantages of a ministernotomy over a standard sternotomy for aortic valve replacement, 191 patients were classified as low-, medium-, and high-risk by EuroSCORE. A ministernotomy was carried out in 100 patients, and a standard sternotomy was used in 91. Among low-risk patients, those who had a ministernotomy showed a marginal increase in atrial fibrillation. Of the medium-risk patients, those who had a sternotomy had significantly more atrial fibrillation and slightly more general infections. In the high-risk subgroup, significantly more atrial fibrillation was observed in the sternotomy group, and more neurologic events were observed in the ministernotomy group; the difference became nonsignificant when only severe events were considered. There was a significant benefit in terms of rhythm disturbances in medium-and high-risk patients who underwent a ministernotomy compared to those who had a full sternotomy. Mortality, duration of intensive care, and hospital stay were not influenced by the operative method.
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De Smet, J.-M., Rondelet, B., Jansens, J.-L., Antoine, M., De Cannière, D., & Le Clerc, J.-L. (2004). Assessment based on EuroSCORE of ministernotomy for aortic valve replacement. Asian Cardiovascular & Thoracic Annals, 12(1), 53-57. https://hdl.handle.net/2078.5/206303 (Original work published 2004)