ArticleFrontiers in cardiovascular medicine2025
Outcomes of isolated mitral valve surgery performed via right anterolateral thoracotomy: a single-centre experience.
Article in Frontiers in cardiovascular medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Abstract
Objectives: The evidence underlying thoracic and pulmonary complications and clinical outcomes after isolated mitral valve surgery performed via right anterolateral thoracotomy is inconclusive. This study retrospectively compared the postoperative thoracic and pulmonary complications and clinical outcomes of isolated mitral valve surgery performed via right anterolateral thoracotomy vs. median sternotomy. Methods: Patients data undergoing isolated mitral valve surgery in our institution were analyzed. Propensity score matching was applied to minimize differences between patients undergoing right anterolateral thoracotomy and median sternotomy. Intraoperative parameters, postoperative thoracic and pulmonary complications, and other postoperative outcomes were compared. Outpatient follow-ups were conducted. Results: Of 711 individuals who met study criteria, 298 underwent right anterolateral thoracotomy and 413 underwent median sternotomy surgery. Propensity score matching resulted in 279 matched pairs for further analysis. Patients' characteristics were comparable in the matched cohorts. The right anterolateral thoracotomy group had higher incidences of subcutaneous emphysema (23.3% vs. 2.9%, Conclusions: Isolated mitral valve surgery via right anterolateral thoracotomy was associated with more thoracic and pulmonary complications and shorter 24-hour postoperative drainage, ICU stay duration and postoperative days compared with median sternotomy, which potentially related to the choice of incision site, specific patient conditions, and surgical techniques.
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