{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,5]],"date-time":"2026-01-05T22:11:05Z","timestamp":1767651065517,"version":"3.37.3"},"reference-count":23,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,12,1]],"date-time":"2021-12-01T00:00:00Z","timestamp":1638316800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,12,27]],"date-time":"2021-12-27T00:00:00Z","timestamp":1640563200000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Sutureless prostheses may have added benefit when combined with minimal access surgery, although this has not been fully assessed in the literature. This study aims to provide a comparative analysis of the Perceval valve comparing median sternotomy (MS) with mini-sternotomy (MIS).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>A retrospective analysis of prospectively collected data was conducted for all isolated aortic valve replacement (AVR), using the Perceval valve, for severe aortic stenosis cases in the period 2014 to 2019. Patients undergoing concomitant valve or revascularisation surgery were excluded.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 78 patients were included: MS group 41; MIS group 37. Operatively, bypass times were comparable between MS and MIS groups (mean 89.3 vs 83.4, <jats:italic>p<\/jats:italic>\u2009=\u20090.307), as were aortic cross clamp times (58.4 vs 55.9, <jats:italic>p<\/jats:italic>\u2009=\u20090.434). There were no operative deaths or new onset post-operative neurology. MIS was a predictor of reduced stay in the intensive care unit (coef \u2212\u20093.25, 95% CI [\u2212\u20094.93, \u2212\u20090.59], <jats:italic>p<\/jats:italic>\u2009=\u20090.036) and hospital stay overall (<jats:italic>p<\/jats:italic>\u2009=\u20090.004). Blood transfusion units were comparable as were the incidence of heart block (n\u2009=\u20095 vs n\u2009=\u20093, <jats:italic>p<\/jats:italic>\u2009=\u20090.429) and new onset atrial fibrillation (n\u2009=\u200915 vs n\u2009=\u20099, <jats:italic>p<\/jats:italic>\u2009=\u20090.250). Follow-up echocardiography found a significant improvement in effective orifice area, left ventricular dimension and volume indices, and LVEF (<jats:italic>p<\/jats:italic>\u2009&gt;\u20090.05) for all patients. Multivariate analysis found mini-sternotomy to be a predictor for reduced LV diastolic volume (coef \u2212\u20090.35, 95% CI [\u2212\u20091.02, \u2212\u20090.05], <jats:italic>p<\/jats:italic>\u2009=\u20090.05).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>The combination of minimal access surgery and sutureless AVR may enhance patient recovery and provide early LV remodelling.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13019-021-01739-w","type":"journal-article","created":{"date-parts":[[2021,12,27]],"date-time":"2021-12-27T16:05:19Z","timestamp":1640621119000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Converging rapid deployment prostheses with minimal access surgery: analysis of early outcomes"],"prefix":"10.1186","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4085-1294","authenticated-orcid":false,"given":"M. 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All patients consented to the use of clinical data in retrospective analysis.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"355"}}