- Aortic valve replacement through right anterior mini-thoracotomy in patients with chronic severe aortic regurgitation: a retrospective single-center study
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Eun Yeung Jung, Ji Eun Im, Ho-Ki Min, Seok Soo Lee
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J Yeungnam Med Sci. 2024;41(3):213-219. Published online June 12, 2024
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DOI: https://doi.org/10.12701/jyms.2024.00290
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 Abstract
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- Background
Aortic valve replacement (AVR) has recently been performed at many centers using a minimally invasive approach to reduce postoperative mortality, morbidity, and pain. Most previous reports on minimally invasive AVR (MiAVR) have mainly focused on aortic stenosis, and those exclusively dealing with aortic regurgitation (AR) are few. The purpose of this study was to investigate early surgical results and review our experience with patients with chronic severe AR who underwent AVR via right anterior mini-thoracotomy (RAT).
Methods
Data were retrospectively collected in this single-center study. Eight patients who underwent RAT AVR between January 2020 and January 2024 were enrolled. Short-term outcomes, including the length of hospital stay, in-hospital mortality, postoperative complications, and echocardiographic data, were analyzed.
Results
No in-hospital mortalities were observed. Postoperative atrial fibrillation occurred temporarily in three patients (37.5%). However, none required permanent pacemaker implantation or renal replacement therapy. The median values of ventilator time, length of intensive care unit stay, and hospital stay were 17 hours, 34.5 hours, and 9 days, respectively. Preoperative and postoperative measurements of left ventricular ejection fraction were similar. However, the left ventricular end systolic and diastolic diameters significantly decreased postoperatively from 42 mm to 35.5 mm (p=0.018) and 63 mm to 51 mm (p=0.012), respectively.
Conclusion
MiAVR via RAT is a safe and reproducible procedure with acceptable morbidity and complication rates in patients with chronic severe AR. Despite some limitations such as a narrow surgical field and demanding learning curve, MiAVR is a competent method for AR.
- Right anterior mini-thoracotomy aortic valve replacement versus transcatheter aortic valve implantation in octogenarians: a single-center retrospective study
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Ji Eun Im, Eun Yeung Jung, Seok Soo Lee, Ho-Ki Min
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J Yeungnam Med Sci. 2024;41(2):96-102. Published online February 26, 2024
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DOI: https://doi.org/10.12701/jyms.2023.01228
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Abstract
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- Background
The aim of this study was to compare the early outcomes of octogenarians undergoing minimally invasive right anterior mini-thoracotomy aortic valve replacement (RAT-AVR) with those undergoing transcatheter aortic valve implantation (TAVI) for aortic valve disease.
Methods
In this single-center retrospective study, data were collected from octogenarians before and after RAT-AVR and TAVI between January 2021 and July 2022. Short-term outcomes, including the length of hospital stay, in-hospital mortality, all-cause mortality, and other major postoperative complications, were compared and analyzed.
Results
There were no significant differences in in-hospital mortality, stroke, acute kidney dysfunction requiring renal replacement therapy, length of intensive care unit stay, or length of hospital stay. However, the TAVI group had a higher incidence of permanent pacemaker insertion (10% vs. 0%, p=0.54) and paravalvular leaks (75% vs. 0%, p<0.001).
Conclusion
In the present study on octogenarians, both TAVI and RAT-AVR showed comparable short-term results. Although both procedures were considered safe and effective in the selected group, RAT-AVR had a lower incidence of complete atrioventricular block and paravalvular regurgitation.
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Citations
Citations to this article as recorded by  - Aortic valve replacement through right anterior mini-thoracotomy in patients with chronic severe aortic regurgitation: a retrospective single-center study
Eun Yeung Jung, Ji Eun Im, Ho-Ki Min, Seok Soo Lee
Journal of Yeungnam Medical Science.2024; 41(3): 213. CrossRef
- Rectus abdominis muscle atrophy after thoracotomy
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Jang Hoon Lee, Seok Soo Lee
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Yeungnam Univ J Med. 2020;37(2):133-135. Published online November 27, 2019
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DOI: https://doi.org/10.12701/yujm.2019.00381
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7,361
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Abstract
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- Intercostal nerve injury is known to occur during thoracotomy; however, rectus abdominis muscle atrophy has rarely been reported. We describe a 52-year-old man who underwent primary closure of esophageal perforation and lung decortication via left thoracotomy. He was discharged 40 days postoperatively without any complications. He noticed an abdominal bulge 2 months later, and computed tomography revealed left rectus abdominis muscle atrophy. We report thoracotomy induced denervation causing rectus abdominis muscle atrophy.
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Citations
Citations to this article as recorded by - Rectus Abdominis Muscle Atrophy and Asymmetry After Pulmonary Lobectomy
Aidan S. Weitzner, Myan Bhoopalam, Jeffrey Khong, Arushi Biswas, Allison Karwoski, Meron Haile, Natalie Waldron, Resham Mawalkar, Anjana Srikumar, Stephen Broderick, Jinny Ha, Kristen P. Broderick
Journal of Surgical Research.2024; 299: 137. CrossRef - Intercostal nerve electrodiagnostic testing in rib fractures
Kristen Gambardella, Cody Ashy, Dane Daley, Evert Eriksson, Matthew Sherrier
Muscle & Nerve.2024;[Epub] CrossRef - Ingenuity of minimally invasive thoracoscopic lobectomy for undiagnosed pulmonary tumour
Sumitaka Yamanaka, Takashi Yoshimatsu, Takeaki Miyata, Hanae Higa
Respirology Case Reports.2020;[Epub] CrossRef
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