PMID- 35310990
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220322
IS  - 2297-055X (Print)
IS  - 2297-055X (Electronic)
IS  - 2297-055X (Linking)
VI  - 9
DP  - 2022
TI  - Mini-Invasive Bentall Procedure Performed via a Right Anterior Thoracotomy 
      Approach With a Costochondral Cartilage Sparing.
PG  - 841472
LID - 10.3389/fcvm.2022.841472 [doi]
LID - 841472
AB  - OBJECTIVES: A right minithoracotomy approach with a sternal sparing technique is 
      a minimally invasive option for surgeons performing aortic root surgery. This 
      report presents our initial clinical results of the right minithoracotomy Bentall 
      procedure. METHODS: Clinical data of 15 patients were retrospectively analyzed 
      who underwent the minimally invasive Bentall procedure through the right anterior 
      thoracotomy via the second intercostal incision without any costochondral 
      cartilage invasion at our institution between October, 2019 and June, 2021. The 
      operative time, length of intensive care unit stay and postoperative hospital 
      stay, perioperative outcomes, and follow-up results were analyzed. RESULTS: The 
      median aortic cross-clamping time was 95.0 (85.5-98.8) min. Three (21.4%) 
      patients received blood transfusion. The median drainage volume in the first 24 h 
      was 200.0 ml, with no redo for bleeding. The median duration of mechanical 
      ventilation was 12.5 (11.0-25.0) h, and median length of intensive care unit stay 
      was 1.5 (1.0-3.0) day. All patients discharged 5.8 +/- 1.2 days following surgery, 
      with no dead patients found. At 6 months following surgery, all patients survived 
      with an improved New York Heart Association (NYHA) functional class. CONCLUSION: 
      The right minithoracotomy Bentall procedure may be performed safely with low 
      morbidity and mortality. This approach should be considered as an option in 
      carefully selected patients requiring aortic root replacement.
CI  - Copyright (c) 2022 Ji, Wang, Liu, Yang, Li, Sun, Yang, Pan, Lai and Wang.
FAU - Ji, Qiang
AU  - Ji Q
AD  - Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, 
      Shanghai, China.
FAU - Wang, YuLin
AU  - Wang Y
AD  - Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, 
      Shanghai, China.
FAU - Liu, FangYu
AU  - Liu F
AD  - Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, 
      Shanghai, China.
FAU - Yang, Ye
AU  - Yang Y
AD  - Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, 
      Shanghai, China.
FAU - Li, Jun
AU  - Li J
AD  - Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, 
      Shanghai, China.
FAU - Sun, XiaoNing
AU  - Sun X
AD  - Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, 
      Shanghai, China.
FAU - Yang, ZhaoHua
AU  - Yang Z
AD  - Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, 
      Shanghai, China.
FAU - Pan, Sun
AU  - Pan S
AD  - Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, 
      Shanghai, China.
FAU - Lai, Hao
AU  - Lai H
AD  - Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, 
      Shanghai, China.
FAU - Wang, ChunSheng
AU  - Wang C
AD  - Department of Cardiovascular Surgery, Zhongshan Hospital, Fudan University, 
      Shanghai, China.
AD  - Shanghai Municipal Institute for Cardiovascular Diseases, Shanghai, China.
LA  - eng
PT  - Journal Article
DEP - 20220302
PL  - Switzerland
TA  - Front Cardiovasc Med
JT  - Frontiers in cardiovascular medicine
JID - 101653388
PMC - PMC8924284
OTO - NOTNLM
OT  - Bentall's procedure
OT  - aortic root replacement
OT  - costochondral cartilage sparing
OT  - minimally invasive cardiac surgery
OT  - right anterior minithoracotomy approach
COIS- The authors declare that the research was conducted in the absence of any 
      commercial or financial relationships that could be construed as a potential 
      conflict of interest.
EDAT- 2022/03/22 06:00
MHDA- 2022/03/22 06:01
PMCR- 2022/01/01
CRDT- 2022/03/21 09:10
PHST- 2021/12/22 00:00 [received]
PHST- 2022/02/08 00:00 [accepted]
PHST- 2022/03/21 09:10 [entrez]
PHST- 2022/03/22 06:00 [pubmed]
PHST- 2022/03/22 06:01 [medline]
PHST- 2022/01/01 00:00 [pmc-release]
AID - 10.3389/fcvm.2022.841472 [doi]
PST - epublish
SO  - Front Cardiovasc Med. 2022 Mar 2;9:841472. doi: 10.3389/fcvm.2022.841472. 
      eCollection 2022.