الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
This comparative study between 45 patients having aortic valve replacement via full sternotomy versus 45 others planned for upper j-shaped mini-sternotomy, was held from May 2019 to February 2022 in Kafrelsheikh university hospital, data was collected and statistically analysed to assess outcomes.
Results: Mini-Sternotomy approach has non-siginficant prolonged cardio pulmonary by-pass (CPB) (p=0.153) and cross clamp (CC) time (p=0.673), compared to conventional approach. Significant less postoperative bleeding (p<0.001), rate of blood transfusion (p<0.001), duration of ICU stay (p=0.013) and total hospital stay (p=0.022) in mini-sternotomy approach in comparison to conventional sternotomy.
Conclusion: For primary isolated AVR, less invasive techniques are a realistic, practical, and repeatable alternative that offers better postoperative results than Full Sternotomy.