Mini vs Full Sternotomy in Aortic Root Repair: a Systematic Review and Meta-analysis

Amer Harky, Mohamad Bashir, Barts Consortium Of Surgeons, Rakesh Uppal

Barts Heart Centre, St Bartholomews Hospital, London, United Kingdom

Date, time and location: 2018.05.26 17:00, Exhibition area, 1st Floor. Zone – C

Abstract

Objective:

We investigated whether mini sternotomy provides better perioperative outcomes over full sternotomy in patients undergoing aortic root repair.

Methods:

A comprehensive search was undertaken among the four major databases to identify all published data.

Results:

A total of 2765 patients were analysed from across 8 comparative studies that were included in the quantitative analysis of the parameters of interest that fulfilled the criteria for meta-analysis. There was no difference in mean age and rate of elective surgery (p=>0.05). Mini sternotomy patients had shorter ICU stay (P=0.0009), less blood transfusion (p<0.00001), less rate of renal failure (p=0.001) and lower operative mortality rate (p=0.02), however, there were no significant difference in rate of re-exploration for bleeding (p=0.24), sternal wound infection (p=0.56), stroke rate (p=0.90) and total hospital stay (p=0.09) among both groups.

Conclusion:

Mini-sternotomy is a safe, feasible alternative option to full sternotomy in aortic root repair, however there is a need for a larger trial to support current limited literature evidences.