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Dr. Francesco Patané

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Division of Cardiac Surgery, Department of Cardio-Thoracic-Vascular Surgery, University of Messina - Papardo Hospital, Messina, Italy
Interests: minimally invasive cardiac surgery; transcatheter mitral valve repair; transcatheter aortic valve implantation; neochord for mital valve repair; minimally invasive surgical aortic valve replacement

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Dear Colleagues,

Recent years have been marked by a high and consistent capacity for innovation and diversification of health care technologies, bringing positive results for health and quality of life, but, at the same time, contributing significantly to increasing health care costs.

However, the introduction of innovative technologies makes it possible to maintain the high quality of services and care by ensuring potential benefits to all.

Currently, the treatment of valvulopathies has shifted toward more minimally invasive surgical and endovascular techniques that make patient recovery faster, thus reducing health care costs.

The proposed collection "Current Treatment and Future Options" will include a selection of research papers by experts in the field of minimally invasive cardiac surgery on valvulopathies, detailing various aspects for basic, clinical and translational research that can be applied to the diagnosis and treatment of various valvulopathies. The collection is aimed to be a concise but comprehensive work that will help surgeons in training as well as experienced practitioners in their daily practice, providing up-to-date evidence on the topic of diagnosis and management of valvulopathies.

Dr. Francesco Patané
Guest Editor

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Keywords

minimally invasive cardiac surgery
transcatheter mitral valve repair
transcatheter aortic valve implantation
neochord for mital valve repair
minimally invasive surgical aortic valve replacement

Published Papers (1 paper)

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12 pages, 1113 KiB

Open AccessArticle

Aortic Valve Replacement: Totally Endoscopic versus Mini-Sternotomy

by Alaaddin Yilmaz, Jade Claessens, Loren Packlé, Silke Van Genechten, Kübra Dönmez, Camille Awouters and Lieven Herbots

J. Clin. Med. 2023, 12(23), 7300; https://doi.org/10.3390/jcm12237300 - 24 Nov 2023

Viewed by 570

Abstract

(1) Background: The development of totally endoscopic aortic valve replacement has the potential to enhance clinical results compared to mini-sternotomy. To our knowledge, no comparison between these two techniques has been conducted before. Therefore, the objective of this retrospective study is to examine the results after both totally endoscopic and mini-sternotomy approaches. (2) Methods: This study covered all elective patients who underwent isolated aortic valve replacement, either totally endoscopically (n = 392) or through a mini-sternotomy (n = 323), between 2013 and 2021. Multivariable analysis was used to account for baseline variations between the two groups. All data were retrospectively gathered and analysed. The primary objective of this study was the one-year mortality rate. (3) Results: The mean aortic cross-clamping and cardiopulmonary bypass times were significantly longer in the totally endoscopic approach (cross-clamping: 43.73 ± 13.71 min and 61.93 ± 16.76 min, p-value < 0.001; CPB time: 64.86 ± 23.02 min and 93.23 ± 23.67 min, p-value < 0.001). However, perioperative bleeding was lower (706.40 ± 542.77 mL and 444.50 ± 515.84 mL, p-value < 0.001). The primary objective, one-year survival, did not significantly differ between both groups (Mini-AVR: 94.5% vs TEAVR: 93.3%, p-value = 0.520). (4) Conclusions: Our results show that totally endoscopic aortic valve replacement has comparable clinical results compared to aortic valve replacement through mini-sternotomy. Full article

(This article belongs to the Special Issue Cardiac Surgery: Current Treatment and Future Options)

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