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Interact Cardiovasc Thorac Surg · Aug 2009
ReviewIs ministernotomy superior to conventional approach for aortic valve replacement?
- Marco Scarci, Christopher Young, and Hazem Fallouh.
- Department of Cardiac Surgery, St Thomas Hospital, London, UK. marco.scarci@mac.com
- Interact Cardiovasc Thorac Surg. 2009 Aug 1; 9 (2): 314-7.
AbstractA best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was: is ministernotomy superior to conventional approach for aortic valve replacement (AVR)? Altogether, more than 115 papers were found using the reported search, of which six represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. We conclude that ministernotomy can be performed safely for AVR, without increased risk of death or other major complication; however, few objective advantages have been shown. Ministernotomy can be offered on the basis of patient choice and cosmesis rather than evident clinical benefit.
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