Our Summary

This study looked at the results of patients who needed surgery on two heart valves, the mitral and tricuspid valves, and compared the outcomes of two different surgical approaches. The first method is a traditional full sternotomy, which involves opening up the chest fully. The second method is a minimally invasive surgery, which uses smaller incisions.

Out of 1048 patients, 730 had the full surgery and 318 had the minimally invasive surgery. The study found that the minimally invasive surgery took a bit longer but did not result in a longer hospital stay or a higher rate of major complications or death within 30 days of the surgery.

In conclusion, the study found that both surgical methods are safe and effective for patients who need surgery on both their mitral and tricuspid valves. There was no evidence that one method is better than the other in the short term.

FAQs

  1. What were the two surgical approaches compared in the study for mitral and tricuspid valve surgeries?
  2. Did the study find any significant difference in the hospital stay or the rate of complications between the traditional full sternotomy and the minimally invasive surgery?
  3. What was the conclusion of the study regarding the safety and effectiveness of both surgical methods?

Doctor’s Tip

However, it is important to note that recovery time and pain may vary between the two methods. Your doctor may recommend one approach over the other based on your individual health condition and needs. Be sure to discuss all options with your doctor and follow their recommendations for the best outcome.

Suitable For

Patients who are typically recommended sternotomy include those who need surgery on multiple heart valves, have complex heart conditions, require a more extensive surgical approach, or have had previous surgeries that make a minimally invasive approach more challenging. It is important for the patient and their healthcare team to discuss the best surgical approach based on their individual needs and medical history.

Timeline

Before sternotomy:

  • Patient undergoes pre-operative tests and consultations with their healthcare team
  • Patient may have symptoms of heart valve disease such as shortness of breath, fatigue, chest pain, or heart palpitations
  • Patient is prepared for surgery and given instructions on how to prepare for the procedure
  • Patient is admitted to the hospital and undergoes anesthesia before the surgery begins

After sternotomy:

  • Surgeon makes an incision in the chest and divides the sternum to access the heart
  • Heart-lung machine is connected to the patient to take over the function of the heart and lungs during the surgery
  • Surgeon repairs or replaces the damaged heart valves
  • Sternum is closed with wires and the incision is closed with sutures or staples
  • Patient is moved to the intensive care unit (ICU) for monitoring and recovery
  • Patient may experience pain, discomfort, and limited mobility in the chest area
  • Patient undergoes physical therapy to regain strength and mobility
  • Patient is discharged from the hospital and continues recovery at home with follow-up appointments with their healthcare team.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with a sternotomy procedure?
  2. How long is the typical recovery time after a sternotomy surgery?
  3. Are there any specific post-operative care instructions or restrictions I should be aware of?
  4. How experienced are you in performing sternotomy procedures?
  5. Are there any alternative surgical approaches or treatment options available for my condition?
  6. Will I need any additional tests or evaluations before undergoing a sternotomy surgery?
  7. What is the success rate of sternotomy surgeries for patients with similar conditions to mine?
  8. How long will I need to stay in the hospital after a sternotomy surgery?
  9. Are there any long-term effects or complications I should be aware of after undergoing a sternotomy procedure?
  10. How soon after the surgery can I resume normal activities and exercise?

Reference

Authors: Paparella D, Margari V, Santarpino G, Moscarelli M, Guida P, Fattouch K, Albertini A, Martinelli L, Mikus E, Gregorini R, Speziale G. Journal: Eur J Cardiothorac Surg. 2022 Aug 3;62(3):ezac167. doi: 10.1093/ejcts/ezac167. PMID: 35348644