Feasibility and early safety of minimally invasive lower median sternotomy in aortic valve replacement.

Shaoye Wang, Pengfei Chen, Haochao Li, Chenyu Liu, Zujun Chen, Liqing Wang, Xinjin Luo

Abstract read

In one paragraph

Article in Surgery open science, 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

–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

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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

7 authors.

Shaoye WangCardiovascular Surgery Department, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, China.

Pengfei ChenCardiovascular Surgery Department, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, China.

Haochao LiCardiovascular Surgery Department, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, China.

Chenyu LiuCardiovascular Surgery Department, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, China.

Zujun ChenCardiovascular Surgery Department, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, China.

Liqing WangCardiovascular Surgery Department, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, China.

Xinjin LuoCardiovascular Surgery Department, Fuwai Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, National Center for Cardiovascular Diseases, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to compare perioperative outcomes between minimally invasive lower median sternotomy (LMS) and conventional full median sternotomy (FMS) in patients undergoing isolated aortic valve replacement (AVR). Methods: This retrospective cohort study enrolled 41 patients who underwent isolated AVR (25 via LMS, 16 via FMS). Patient demographics, intraoperative data, and early postoperative outcomes were analyzed and compared between the two groups. Results: The two groups were comparable in terms of baseline characteristics. There were no significant differences in intraoperative metrics, including operation time (LMS 238.6 ± 45.3 vs. FMS 264.9 ± 77.7 min, Conclusion: LMS for isolated AVR represents a safe and feasible minimally invasive alternative to conventional FMS, with equivalent intraoperative efficiency and early postoperative safety profiles, and offers superior cosmetic outcomes. LMS offers a viable minimally invasive option without compromising procedural outcomes.

Indexed as

Aortic valve replacementMinimally invasive lower median sternotomyMinimally invasive sternotomyPerioperative outcomes

Identifiers

PMID42232470

DOI10.1016/j.sopen.2026.05.004

PMCPMC13224375

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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.