Research Article

Right Anterior Minithoracotomy Is an Alternative, Less Invasive Approach to Median Sternotomy during Aortic Valve Replacement for Patients with Low Left Ventricular Ejection Fraction

Table 1

Baseline variables of included patients.

VariableMedian sternotomyRight anterior minithoracotomy

Age (years, )0.62
Gender/male (%)25 (58.1%)26 (60.5%)0.83
Smoking (%)16 (37.2%)17 (39.5%)0.83
Alcohol consumption (%)9 (20.9%)11 (25.6%)0.61
Body mass index (kg/m-2, )0.79
Heart rate at admission (time (min), )0.90
Disease duration (years, )0.80
NYHA classification (%)0.93
 Class I4 (9.3%)5 (11.6%)
 Class II16 (37.2%)14 (32.6%)
 Class III15 (34.9%)17 (39.5%)
 Class IV8 (18.6%)7 (16.3%)
Type of aortic valve disease (%)0.91
 Aortic stenosis8 (18.6%)7 (16.3%)
 Aortic insufficiency21 (48.8%)23 (53.5%)
 Both14 (32.6%)13 (30.2%)
Diabetes (%)9 (20.9%)8 (18.6%)0.79
Hypertension (%)10 (23.3%)9 (20.9%)0.79

There were 43 cases undergoing AVR through median sternotomy and 43 cases undergoing AVR through right anterior minithoracotomy.