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Abstract

Background: A minimally invasive cardiac surgery gained a wide acceptance worldwide with comparable results to conventional surgery through full median sternotomy. There is now extension of minimally invasive techniques to involve more complex procedures such as combined aortic and mitral valve surgeries.
Patients and methods: In this study we present two groups of patients receiving combined aortic and mitral valve surgeries in the period between October 2022 and January 2024 at Cairo University as well other hospitals. Group A included 30 patients that were operated upon through upper ministernotomy while group B included 30 patients that were operated upon via full median sternotomy. Both groups were matched according to propensity matching scoring system build upon preoperative patient characteristics.
Results: According to our study Patients in group A showed similar mortality compared to group B (3.3% P > 1). Patients in group A as compared with group B were less likely to receive postoperative red cell transfusion (1.33 ± 0.48 versus 1.90 ± 0.71, P <0.001, respectively), both groups shared similar incidences of postoperative morbidities. Patients in group A as compared with group B experienced 7-minutes longer aortic cross-clamping time and 10-minutes longer cardiopulmonary bypass time, but showed shorter postoperative hospitalization time.
Conclusion: Combined aortic and mitral valve surgery through upper ministernotomy is safe and effective minimally invasive technique