{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,5]],"date-time":"2026-09-05T21:29:39Z","timestamp":1788643779540,"version":"build-2803163510"},"reference-count":19,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,11,1]],"date-time":"2024-11-01T00:00:00Z","timestamp":1730419200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"General Research Program in Medicine and Health of Zhejiang Province","award":["2022KY053"],"award-info":[{"award-number":["2022KY053"]}]},{"name":"General Research Program in Medicine and Health of Zhejiang Province","award":["2023KY492"],"award-info":[{"award-number":["2023KY492"]}]},{"name":"General Research Program in Medicine and Health of Zhejiang Province","award":["2023RC005"],"award-info":[{"award-number":["2023RC005"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Innovations&amp;#65533;(Phila)"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aims to assess the safety, efficacy, and esthetic outcomes of an innovative 4 cm right infra-axillary incision approach for concomitant ascending aorta and aortic valve replacement (AAR and AVR), with a specific focus on achieving optimal surgical outcomes while ensuring minimal visible scarring.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We retrospectively examined all elective cases of concomitant AAR and AVR surgery performed at our institution from July 2021 to June 2023. Exclusions encompassed emergency surgery, acute type A aortic dissection, active aortic valve endocarditis, redo cardiac surgery, the necessity for concurrent mitral valve replacement, or left ventricular assist device implantation. We collected and analyzed perioperative data for the patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The study comprised 24 consecutive patients. Cardiopulmonary bypass time and aortic cross-clamp time averaged 215.0 (interquartile range [IQR], 38.0) and 158.0 (IQR, 37.0) min, respectively. No instances of reoperation due to postoperative bleeding or need for permanent pacemaker implantation were recorded. Initial 24-h postoperative drainage volume averaged 186.9 \u00b1 76.9 mL. Average follow-up duration was 21.7 \u00b1 6.2 months (range, 5 to 30 months). Throughout short-term follow-up, no occurrences of valve dysfunction, paravalvular leak, cardiovascular events necessitating readmission, or mortality were observed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The right infra-axillary incision approach effectively yields secure, successful, and cosmetically pleasing outcomes for concomitant AAR and AVR. Further research and comparisons are warranted to validate these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15569845241285872","type":"journal-article","created":{"date-parts":[[2024,11,2]],"date-time":"2024-11-02T01:37:06Z","timestamp":1730511426000},"page":"626-632","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Minimally Invasive Video-Assisted Surgery for Concomitant Ascending Aorta and Aortic Valve Replacement via Right Infra-Axillary Thoracotomy"],"prefix":"10.1177","volume":"19","author":[{"given":"Shuwei","family":"Wang","sequence":"first","affiliation":[{"name":"Heart Center, Department of Cardiovascular Surgery, Zhejiang Provincial People\u2019s Hospital (Affiliated People\u2019s Hospital, Hangzhou Medical College), China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chentao","family":"Luo","sequence":"additional","affiliation":[{"name":"Heart Center, Department of Cardiovascular Surgery, Zhejiang Provincial People\u2019s Hospital (Affiliated People\u2019s Hospital, Hangzhou Medical College), China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bing","family":"Zhou","sequence":"additional","affiliation":[{"name":"Heart Center, Department of Cardiovascular Surgery, Zhejiang Provincial People\u2019s Hospital (Affiliated People\u2019s Hospital, Hangzhou Medical College), China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhibin","family":"Hu","sequence":"additional","affiliation":[{"name":"Heart Center, Department of Cardiovascular Surgery, Zhejiang Provincial People\u2019s Hospital (Affiliated People\u2019s Hospital, Hangzhou Medical College), China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhifang","family":"Liu","sequence":"additional","affiliation":[{"name":"Heart Center, Department of Cardiovascular Surgery, Zhejiang Provincial People\u2019s Hospital (Affiliated People\u2019s Hospital, Hangzhou Medical College), China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erlei","family":"Han","sequence":"additional","affiliation":[{"name":"Heart Center, Department of Cardiovascular Surgery, Zhejiang Provincial People\u2019s Hospital (Affiliated People\u2019s Hospital, Hangzhou Medical College), China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Changhao","family":"Wu","sequence":"additional","affiliation":[{"name":"Heart Center, Department of Cardiovascular Surgery, Zhejiang Provincial People\u2019s Hospital (Affiliated People\u2019s Hospital, Hangzhou Medical College), China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fuyang","family":"Mei","sequence":"additional","affiliation":[{"name":"Heart Center, Department of Cardiovascular Surgery, Zhejiang Provincial People\u2019s Hospital (Affiliated People\u2019s Hospital, Hangzhou Medical College), China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaofeng","family":"Lu","sequence":"additional","affiliation":[{"name":"Heart Center, Department of Cardiovascular Surgery, Zhejiang Provincial People\u2019s Hospital (Affiliated People\u2019s Hospital, Hangzhou Medical College), China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Weikang","family":"Chen","sequence":"additional","affiliation":[{"name":"Heart Center, Department of Cardiovascular Surgery, Zhejiang Provincial People\u2019s Hospital (Affiliated People\u2019s Hospital, Hangzhou Medical College), China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhiqiang","family":"Dong","sequence":"additional","affiliation":[{"name":"Heart Center, Department of Cardiovascular Surgery, Zhejiang Provincial People\u2019s Hospital (Affiliated People\u2019s Hospital, Hangzhou Medical College), China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yong","family":"Cui","sequence":"additional","affiliation":[{"name":"Heart Center, Department of Cardiovascular Surgery, Zhejiang Provincial People\u2019s Hospital (Affiliated People\u2019s Hospital, Hangzhou Medical College), China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,11]]},"reference":[{"key":"e_1_3_3_2_2","article-title":"2020 ACC\/AHA guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines","volume":"143","author":"Otto CM","year":"2021","unstructured":"Otto CM, Nishimura RA, Bonow RO, et al. 2020 ACC\/AHA guideline for the management of patients with valvular heart disease: a report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines. 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