Conventional Median Sternotomy vs. Upper Partial Sternotomy in Mitral Valve Replacement-Juniper Publishers
JUNIPER PUBLISHERS-OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Abstract Background: Full median sternotomy has been a standard surgical approach for heart surgery for more than 50 years. Several advantages increasing the use of less invasive approaches to the mitral valve surgery including, cosmetic, blood product use, respiratory, and pain advantages over conventional surgery. Parasternal incision, right mini-thoracotomy and partial sternotomy are described approaches for less invasive cardiac surgery. Objective: Comparing the standard approach via conventional median sternotomy vs. less invasive approach via upper partial sternotomy. Methods: Sixty patients, underwent mitral valve replacement with or without tricuspid valve repair in NHI, were enrolled in this study and divided into two equal groups, Group I via conventional median sternotomy (CMS), and Group II via upper partial sternotomy (UPS). The preoperative characteristics, operative ...