Clinical Study

The Efficacy and Outcome of Ministernotomy Compared to Those of Standard Sternotomy for Aortic Valve Replacement

Table 3

Comparing the postoperative outcome including complications and adverse events.

Post-OPAortic valve replacementAortic valve replacement value
Minithoracotomy Sternotomy

Red blood cell units24 (54.5%)148 (48.8%)0.52
Platelet units7 (15.9%)43 (14.2%)0.82
Fresh frozen plasma units8 (18.2%)53 (17.4%)0.84
Cryoprecipitate units3 (6.8%)11 (3.6%)0.40

Any complications20 (45.5%)125 (41.3%)0.63
Atrioventricular block1 (2.2%)12 (3.9%)1.00
Myocardial infarction0 (0%)0 (0%)1.00
Atrial fibrillation9 (20.5%)52 (17.2%)0.67
Cardiac tamponade0 (0%)0 (0%)1.00
Multisystem failure0 (0%)4 (1.3%)1.00
Valve dysfunction requiring re-OP0 (0%)1 (0.33%)1.00
Bleeding requiring re-OP2 (4.5%)18 (5%)1.00
Infection3 (6.8%)18 (6%)
 (i) Septicemia1 (2.2%)3 (1%)0.42
 (ii) Deep sternal infection1 (2.2%)7 (2.3%)1.00
 (iii) Pneumonia0 (0%)5 (1.7%)1.00
 (iv) Urinary tract infection1 (2.2%)3 (1%)0.42
Pulmonary embolism0 (0%)1 (1%)1.00
Neurological event2 (4.5%)5 (1.7%)0.05
Gastrointestinal complication1 (2.2%)5 (1.7%)0.56
Renal failure requiring dialysis0 (0%)11 (3.6%)0.37

Reintubation2 (4.5%)21 (7%)0.75
Readmission to ICU0 (0%)8 (2.6%)0.60
Total duration of ICU stay 0.12
Length of stay surgery-discharge 0.31
Readmission (<30 days)5 (11.4%)47 (15.5%)0.65