Evidence map›Paper›PMID 41960058›Full record

ArticleJTCVS open2026

Right anterior mini-thoracotomy for isolated aortic valve replacement: An international and multicenter study.

Ali Fatehi Hassanabad, Mortaza Fatehi Hassanabad, Melissa A King, Madeleine P McKenzie, Alexandre Bergeron, Adwaiy Manerikar, Anna Huskin, Jane Kruse, Abigail S Baldridge, Justyna Fercho and 14 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in JTCVS open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

24 authors.

Ali Fatehi HassanabadSection of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, Alberta, Canada.
Mortaza Fatehi HassanabadSection of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, Alberta, Canada.
Melissa A KingSection of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, Alberta, Canada.
Madeleine P McKenzieSection of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, Alberta, Canada.
Alexandre BergeronDepartment of Cardiac Surgery, Montreal Heart Institute, University of Montreal, Quebec, Canada.
Adwaiy ManerikarSection of Cardiac Surgery, Bluhm Cardiovascular Institute at Northwestern University, Chicago, Ill.
Anna HuskinSection of Cardiac Surgery, Bluhm Cardiovascular Institute at Northwestern University, Chicago, Ill.
Jane KruseSection of Cardiac Surgery, Bluhm Cardiovascular Institute at Northwestern University, Chicago, Ill.
Abigail S BaldridgeSection of Cardiac Surgery, Bluhm Cardiovascular Institute at Northwestern University, Chicago, Ill.
Justyna FerchoNeurosurgery Department, 10th Military Research Hospital and PolyClinic SPZOZ, Bydgoszcz, Poland.
Mateusz JaneczekSection of Cardiac Surgery, Medical University of Gdansk, Gdansk, Poland.
Muhammad Israr-Ul-HaqSection of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, Alberta, Canada.
Mathieu Rheault-HenryDivision of Cardiac Surgery, Department of Surgery, Western University, London Health Sciences Centre, London, Ontario, Canada.
Abdullatif Abo DanDepartment of Cardiac Surgery, Montreal Heart Institute, University of Montreal, Quebec, Canada.
Michael W A ChuDivision of Cardiac Surgery, Department of Surgery, Western University, London Health Sciences Centre, London, Ontario, Canada.
Muhammad R AhsanSection of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, Alberta, Canada.
Holly N SmithSection of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, Alberta, Canada.
Andrew MaitlandSection of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, Alberta, Canada.
Daniel D HollowaySection of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, Alberta, Canada.
Wojtek KarolakSection of Cardiac Surgery, Medical University of Gdansk, Gdansk, Poland.
S Christopher MalaisrieSection of Cardiac Surgery, Bluhm Cardiovascular Institute at Northwestern University, Chicago, Ill.
Denis BouchardDepartment of Cardiac Surgery, Montreal Heart Institute, University of Montreal, Quebec, Canada.
Corey AdamsSection of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, Alberta, Canada.
William D T KentSection of Cardiac Surgery, Department of Cardiac Sciences, Libin Cardiovascular Institute, University of Calgary, Alberta, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Right anterior mini thoracotomy (RAMT) is a sternum-sparing approach for aortic valve replacement (AVR). Single-center studies have found RAMT AVR to be safe; however, there is a paucity of large, multicenter, all-comer, and real-world data for this surgical strategy. Methods: This retrospective study investigated the outcomes of isolated RAMT AVR at 6 centers in the United States, Canada, and Europe. Primary outcomes were death and disabling stroke within 30 days of surgery. Secondary outcomes included rate of conversion to sternotomy, prosthetic used, operative times, residual paravalvular leak, rate of permanent pacemaker (PPM) implantation, incidence of new onset postoperative atrial fibrillation (POAF), rate of blood transfusion, and intensive care unit and hospital length of stay. Results: Seven hundred and sixteen patients underwent isolated RAMT AVR between January 2012 and December 2024 across 6 centers. Four hundred and twenty-eight were male, and the mean age of the cohort was 68.1 ± 10.7 years. Six patients (0.8%) died and 3 (0.4%) experienced a disabling stroke. Thirteen patients (1.8%) required emergent reoperation to control bleeding, while 45 (6.3%) received transfused blood products. One hundred and thirty patients (18.2%) experienced POAF. The incidence of permanent pacemaker implantation after a sutured valve replacement was 2.51% (n = 18 patients). The median intensive care unit and hospital length of stay was 1 day and 5 days, respectively. Conclusions: The findings of this study, the largest multicenter study on RAMT AVR reported to date, suggest that this is a safe operation associated with excellent outcomes.

Indexed as

aortic valve replacementminimally invasive valve surgeryright anterior mini thoracotomy

Identifiers

PMID41960058
PMCPMC13059857

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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.