{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T21:58:41Z","timestamp":1777499921294,"version":"3.51.4"},"reference-count":18,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2007,12,1]],"date-time":"2007-12-01T00:00:00Z","timestamp":1196467200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2007,12]]},"abstract":"<jats:p>The aim of this study was to compare postoperative outcomes in patients undergoing aortic valve replacement through a ministernotomy or conventional sternotomy. Sixty patients were randomized into 2 groups of 30 each: group 1 had a full sternotomy and group 2 had a ministernotomy. Pain was evaluated on a daily basis, pulmonary function tests were performed perioperatively. The skin incision was shorter in group 2 (7.17 vs 24.50 cm in group 1). There was significantly less mediastinal drainage in group 2 (233 vs 590 mL in 24 hours in group 1). Group 1 patients had more blood transfusions and longer ventilation time. In group 1, 96.7% experienced severe pain, whereas 93.3% in group 2 reported minimal pain. Hospital stay was 17.7 days in group 1 and 8.0 days in group 2. The ministernotomy had a cosmetic advantage, less blood loss and transfusion requirement, greater sternal stability, better respiratory function, and earlier extubation and hospital discharge.<\/jats:p>","DOI":"10.1177\/021849230701500605","type":"journal-article","created":{"date-parts":[[2013,5,6]],"date-time":"2013-05-06T09:37:22Z","timestamp":1367833042000},"page":"472-475","source":"Crossref","is-referenced-by-count":46,"title":["Minimal vs Median Sternotomy for Aortic Valve Replacement"],"prefix":"10.1177","volume":"15","author":[{"given":"Moustafa A","family":"Moustafa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ayman A","family":"Abdelsamad","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Mansoura University Mansoura, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gamal","family":"Zakaria","sequence":"additional","affiliation":[{"name":"Department of Anesthesia, Mansoura University Mansoura, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Magdy M","family":"Omarah","sequence":"additional","affiliation":[{"name":"Department of Chest Medicine, Mansoura University Mansoura, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2007,12,1]]},"reference":[{"key":"bibr1-021849230701500605","first-page":"307","volume":"20","author":"Rao PN","year":"1993","journal-title":"Tex Heart Inst J"},{"key":"bibr2-021849230701500605","first-page":"109","volume":"9","author":"Wang WL","year":"2003","journal-title":"Med Sci Monit"},{"key":"bibr3-021849230701500605","first-page":"166","volume":"25","author":"Klokocovnik T","year":"1998","journal-title":"Tex Heart Inst J"},{"key":"bibr4-021849230701500605","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)00863-2"},{"key":"bibr5-021849230701500605","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)00362-8"},{"key":"bibr6-021849230701500605","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(01)03402-6"},{"key":"bibr7-021849230701500605","doi-asserted-by":"publisher","DOI":"10.1097\/00001573-200403000-00010"},{"key":"bibr8-021849230701500605","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-199710000-00003"},{"key":"bibr9-021849230701500605","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.1997.tb04865.x"},{"key":"bibr10-021849230701500605","first-page":"3","volume":"79","author":"Parsonnet V","year":"1989","journal-title":"Circulation"},{"key":"bibr11-021849230701500605","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(96)00418-3"},{"key":"bibr12-021849230701500605","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(98)00300-2"},{"key":"bibr13-021849230701500605","doi-asserted-by":"publisher","DOI":"10.1378\/chest.114.1.291"},{"key":"bibr14-021849230701500605","first-page":"638","volume":"5","author":"Konertz W","year":"1996","journal-title":"J Heart Valve Dis"},{"key":"bibr15-021849230701500605","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(97)00927-2"},{"key":"bibr16-021849230701500605","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(98)00462-7"},{"key":"bibr17-021849230701500605","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(97)01204-6"},{"key":"bibr18-021849230701500605","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)00284-2"}],"container-title":["Asian Cardiovascular and Thoracic Annals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/021849230701500605","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/021849230701500605","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/021849230701500605","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:13:26Z","timestamp":1777389206000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/021849230701500605"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,12]]},"references-count":18,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2007,12]]}},"alternative-id":["10.1177\/021849230701500605"],"URL":"https:\/\/doi.org\/10.1177\/021849230701500605","relation":{},"ISSN":["0218-4923","1816-5370"],"issn-type":[{"value":"0218-4923","type":"print"},{"value":"1816-5370","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,12]]}}}