Evidence map›Paper›PMID 41998688›Full record

ArticleJournal of cardiothoracic surgery2026

Single-center experience of minimally invasive ascending aortic surgery via right anterior mini-thoracotomy.

Tao Zhu, Haoran Wang, Chengbin Tang

Abstract read
In one paragraph

Article in Journal of cardiothoracic surgery, 2026. 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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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

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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.

2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors.

Tao ZhuDepartment of Cardiac Vascular Center, Northern Jiangsu People's Hospital, 98 Nantong West Road, Yangzhou, 225001, Jiangsu Province, China.
Haoran WangDepartment of Cardiac Vascular Center, Northern Jiangsu People's Hospital, 98 Nantong West Road, Yangzhou, 225001, Jiangsu Province, China.
Chengbin TangDepartment of Cardiac Vascular Center, Northern Jiangsu People's Hospital, 98 Nantong West Road, Yangzhou, 225001, Jiangsu Province, China. tang119169@163.com.

Funding

the Youth Fund of Northern Jiangsu People's Hospital SBQN24002
6 · The paper itself

Abstract

backgroundThe right anterior mini-thoracotomy (RAMT) has emerged as a well-established minimally invasive surgical approach in the field of cardiac surgery and is increasingly being utilized for valve-related interventions. However, high-quality clinical evidence supporting its application in ascending aorta surgery remains limited. This study aims to evaluate the safety and feasibility of ascending aortic operations performed via the RAMT approach.

methodsA retrospective analysis was conducted on 41 patients who underwent ascending aortic surgery using the RAMT technique at the Cardiac Vascular Center of Northern Jiangsu Province People’s Hospital between June 2022 and June 2025. Patient baseline characteristics, perioperative outcomes, and follow-up data were systematically reviewed and analyzed.

resultsThe study cohort comprised 41 patients aged 42 to 83 years. Among them, 27 patients underwent mini-Bentall or mini-Wheat procedures, while 24 underwent ascending aortic replacement. Operative duration ranged from 160.0 to 420.0 min. The median aortic cross-clamp time was 88.0 min (interquartile range [IQR]: 52.0–147.0), and the median cardiopulmonary bypass (CPB) time was 103.0 min (IQR: 68.0–158.0). The median length of intensive care unit (ICU) stay was 3.9 days (IQR: 2.0–7.8), with mechanical ventilation maintained for a median duration of 10.5 h (range: 5.2–22.7 h). Median postoperative drainage within the first 24 h was 220 mL. No deaths or major complications were observed during the follow-up period.

conclusionsAscending aortic surgery performed via the RAMT approach demonstrates favorable safety and procedural feasibility, indicating its potential as a viable and promising minimally invasive technique suitable for wider clinical implementation.

Indexed as

AortaMinimally Invasive Surgical ProceduresThoracotomyAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedRetrospective StudiesAscending aortic surgeryBentall procedurePerioperative outcomesRight anterior mini-thoracotomyWheat procedure

Identifiers

PMID41998688
PMCPMC13231607

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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.