Evidence map›Paper›PMID 41684769›Full record

ArticleKardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery2025

Results of minimally invasive aortic valve replacement.

Adam R Kowalówka, Jakub Staromłyński, Konrad Mendrala, Mariusz Kowalewski, Ryszard Bachowski, Radoslaw Gocol

Abstract read
In one paragraph

Article in Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Adam R KowalówkaDepartment of Cardiac Surgery, Medical University of Silesia, Faculty of Medical Sciences, Katowice, Poland.
Jakub StaromłyńskiDepartment of Cardiac Surgery and Transplantology, National Medical Institute of the Ministry of Interior and Administration, Centre of Postgraduate Medical Education, Warsaw, Poland.
Konrad MendralaDepartment of Anaesthesiology and Intensive Care, Medical University of Silesia, Katowice, Poland.
Mariusz KowalewskiDepartment of Cardiac Surgery and Transplantology, National Medical Institute of the Ministry of Interior and Administration, Centre of Postgraduate Medical Education, Warsaw, Poland.
Ryszard BachowskiDepartment of Cardiac Surgery, Medical University of Silesia, Faculty of Medical Sciences, Katowice, Poland.
Radoslaw GocolDepartment of Cardiac Surgery, Medical University of Silesia, Faculty of Medical Sciences, Katowice, Poland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Patients with severe aortic valve (AV) stenosis or insufficiency can undergo minimally invasive aortic valve surgery with mini-sternotomy (MS) or full sternotomy (FS). Aim: Our study evaluated 5-year outcomes in patients after minimally invasive surgery for aortic valve replacement (AVR) compared with FS access. Material and methods: We conducted a single-center registry data analysis of AV patients who underwent only elective, isolated AVR compared to MS, and FS hospitalized between 2014 and 2024 in the Cardiac Surgery Department at the Medical University of Silesia. Redo, emergency, salvage and concomitant procedures were excluded. The 5-year survival data were verified in the National Health Fund. Propensity score matching (PSM) was conducted to determine FS controls for the MS group in a 1 : 1 ratio with a 0.1 SD caliper. Results: The study group included 1289 elective patients (73 MS, and 1216 FS). All operative and postoperative data before and after PSM are presented in tables. PSM resulted in 65 MS cases and 65 FS controls. The 5-year survival did not differ between groups, either before PSM (HR = 0.92, 95% CI [0.34-2.5]; Conclusions: Our study demonstrates that minimally invasive aortic valve replacement offers comparable 5-year outcomes. The results suggest that the less invasive alternative should be the first choice option for patients with aortic valve diseases.

Indexed as

aortic stenosisaortic valve replacementminimal invasive operations

Identifiers

PMID41684769
PMCPMC12892191

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.