{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T04:50:31Z","timestamp":1773377431129,"version":"3.50.1"},"reference-count":23,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T00:00:00Z","timestamp":1771891200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,3,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>We conducted a study comparing full sternotomy (FS) and minithoracotomy (MT) for aortic valve replacement (AVR). The primary end-point was determining all-cause mortality and other variables according to the VARC 3 Consortium.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Retrospective investigation from January 2017 to December 2024 in 2 referral centres in Peru. We selected 142 patients who were submitted to isolated AVR through MT and 772 through FS. We used unmatched analysis and a propensity score matching (PSM) for matched analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In the unmatched analysis, operative mortality for MT was similar (MT: 2.1% vs FS: 1.6%, P: .391), stroke rate in the MT group was 2.1% and in the FS group 1% (P: .278), pacemaker insertion was more common in the MT group (MT: 3.5% vs FS: 0.5%, P\u2009&amp;lt;\u2009.001) as well as post-operative atrial fibrillation (POAF) (19% vs 9.2%, P\u2009&amp;lt;\u2009.001). After a PMS, operative mortality was similar (MT: 1\/108, 0.9% vs FS: 3\/108, 2.8%, P: .314); as well as, pacemaker insertion (MT: 2.8% vs FS: 0%, P: .081), stroke (MT: 1.9% vs FS: 0%, P: .162) or POAF (MT: 15.7%, FS: 8.33%, P: .086). At follow-up, PMS analysis showed a similar 5-year survival estimates (MT: 97.6%, IC 95%: 90.7%-99.4% and for FS: 94%, IC 95%: 85.2%-97.6%, P: .103).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Isolated AVR through MT or FS has similar operative and follow-up mortality rates. It is possible to implement a minimally invasive cardiac surgery (MICS) program with good results in middle-income countries.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/icvts\/ivag060","type":"journal-article","created":{"date-parts":[[2026,2,24]],"date-time":"2026-02-24T12:43:36Z","timestamp":1771937016000},"source":"Crossref","is-referenced-by-count":0,"title":["Minithoracotomy Versus Sternotomy for Aortic Valve Replacement: Outcomes from a Latin American Comparative Study"],"prefix":"10.1093","volume":"41","author":[{"given":"Jos\u00edas C","family":"R\u00edos-Ortega","sequence":"first","affiliation":[{"name":"Cardiovascular Surgery Department, National Cardiovascular Institute, EsSalud , Lima 15072, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Carlos","family":"Quispe-Vizcarra","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Department, Edgardo Rebagliati National Hospital, EsSalud , Lima 15072, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josu\u00e9","family":"Sisniegas-Raz\u00f3n","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Department, National Cardiovascular Institute, EsSalud , Lima 15072, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roger","family":"Conde-Moncada","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Department, National Cardiovascular Institute, EsSalud , Lima 15072, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luisa","family":"Talledo-Paredes","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Department, National Cardiovascular Institute, EsSalud , Lima 15072, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gracia","family":"Polo-Lecca","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Department, National Cardiovascular Institute, EsSalud , Lima 15072, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Enrique","family":"Velarde-Revilla","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Department, Edgardo Rebagliati National Hospital, EsSalud , Lima 15072, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Walter","family":"Pazos-Garc\u00eda","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Department, Edgardo Rebagliati National Hospital, EsSalud , Lima 15072, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yemmy","family":"P\u00e9rez-Valverde","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Department, National Cardiovascular Institute, EsSalud , Lima 15072, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"F\u00e9lix","family":"Bocanegra-Silva","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Department, Edgardo Rebagliati National Hospital, EsSalud , Lima 15072, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vicente","family":"Benites-Zapata","sequence":"additional","affiliation":[{"name":"Unidad de Investigaci\u00f3n para la Generaci\u00f3n y S\u00edntesis de Evidencias en Salud, Universidad San Ignacio de Loyola , Lima 15026, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julio","family":"Mor\u00f3n-Castro","sequence":"additional","affiliation":[{"name":"Cardiovascular Surgery Department, National Cardiovascular Institute, EsSalud , Lima 15072, Peru"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2026,2,24]]},"reference":[{"key":"2026031216330949700_ivag060-B1","first-page":"12710","article-title":"Changing epidemiology of calcific aortic valve disease: 30-year trends of incidence, prevalence, and deaths across 204 countries and territories","volume":"13","author":"Yi","year":"2021","journal-title":"Ageing (Albany 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