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Objectives: Minimally invasive aortic valve replacement (AVR) has been associated with several better outcomes over the standard full sternotomy approach. We revised our 10-year experience with right anterior mini-thoracotomy (RAMT) for AVR and compared the data to the Society of Thoracic Surgeons (STS) database.

Methods: Between August 2004 and March 2014, 484 patients (males 271 (56%), mean age 70.6 ± 12 years) underwent isolated AVR through RAMT. Eight (1.7%) patients had previous heart surgery. Mean NYHA functional class was 2.3; 136 (28%) patients were in NYHA III–IV advanced congestive heart failure. Forty-four (9%) patients had left ventricle ejection fraction (EF) <50%. In 42 (9%) patients combined valve lesion and in 77 (16%) pure aortic regurgitation were diagnosed preoperatively. Mean logistic EuroSCORE I was 7.8.

Results: In 233 (48%) patients sutureless or …