Right Anterolateral Minithoracotomy Versus Median Sternotomy in Mitral Valve Replacement

Abstract
Background: The mitral valve has been traditionally approached through a median sternotomy. However, significant advances in surgical optics, instrumentation, tissue tele ma-nipulation, and perfusion technology have allowed for mitral valve surgery to be performed using progressively smaller incisions including the minithoracotomy.
Aim of Study: To compare the surgical outcome of right anterolateral minithoracotomy and median sternotomy in mitral valve replacement.
Patients and Methods: This study was done in department of Cardiothoracic surgery at El-Hussen Hospital, Al-Azhar University, after approval of the local ethical committee in the period between December 2016 till December 2017.
30 patients with MVD requiring mitral valve surgery were included in the study for operative and short term postoperative results to evaluate the impact of two approaches of replacement on functional status and Quality of Life of those patients who survived the operation will be studied.
Results: The thirty patients were divided into two groups where fifteen patients underwent mitral valve surgery via Rt anterolateral minithoracotomy operations rely on direct vision (6-12cm) with femoral artery and vein cannulation, these patients had better cosmoses in the early and the short term postoperative period.
Conclusion: It is obvious that not only better cosmoses drive surgeons to perform less invasive cardiac surgical procedures but the less invasive procedures are also intended to minimize harm to patients by reducing blood loss, reducing the amount of blood transfusion, reducing the danger of infection by minimizing wound dimensions, thereby shortening the patient's ICU and hospital stay.