Right Antero-lateral Thoracotomy Vs. Mini-sternotomy Aortic Valve Replacement Randomized Trial
Radoslaw Smoczynski, Mariusz Kowalewski, Jakub Staromlynski, Anna Witkowska, Maciej Bartczak, Piotr Suwalski.
Department of Cardiac Surgery, Central Clinical Hospital of the Ministry of Interior, Warsaw, Poland.
Background: Minimally invasive aortic valve replacement (AVR) is growing technique in cardiac surgery. Mini-sternotomy (MS) and right antero-lateral thoracotomy (RALT) are mostly used in AVR minimalyu invasive procedures. Aim of the study is randomized comparison of two AVR techniques. Methods: The randomized trial is projected to collect 60 patients in first phase and 120 patients in second phase. Data as CBP, cross-clamp and operation time, drainage, transfusions, inotropes administration and hospitalization are collected. Primary endpoints are: bleeding, PVL, TIA/stroke, in-hospital death. Follow-up collects data as endocarditis, PVL, TIA/stroke and mortality in 1,3 and 5 years period. The project involve one center and it can be extended to other centers. Results: Early results will be presented during ISMICS. Conclusion: It is first randomized trial comparing mini-sternotomy and right antero-lateral thoracotomy in AVR operation. Conclusion are expected.
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