Ministernotomy or minithoracotomy for minimally invasive aortic valve replacement: a Bayesian network meta-analysis.

Abstract

The current evidence demonstrates that MIAVR via MS or MT is a safe and efficacious alternative to conventional median sternotomy. MT may be associated with longer CPB and cross-clamp durations, but has similar post-operative outcomes compared to MS. An individualized approach tailored to both the patient and surgical team is likely to provide optimal outcomes.