Gender-Based Comparative Analysis of Outcomes Following Minimally Invasive
Aortic Valve Replacement : A 15-Year Study

 

Maria Comanici , Abu A. Farmidi, Fabio De Robertis, Toufan Bahrami, Sunil K. Bhudia, Shahzad G. Raja

Department of Cardiothoracic Surgery, Harefield Hospital, London, UK

 

Background

Minimally invasive aortic valve replacement (mini-AVR) is increasingly favoured for its reduced trauma and faster recovery. However, data on gender-specific outcomes remain limited. Differences in baseline characteristics and surgical risk between males and females may influence both perioperative complications and long-term survival. This study aims to address these gaps by analysing gender-based outcomes in a large single-centre mini-AVR cohort.

 

Objective

To evaluate and compare perioperative and long-term outcomes between males and females undergoing mini-AVR over 15 years and identify gender-specific predictors of long-term mortality.

 

Conclusion

Females undergoing mini-AVR faced higher perioperative risks, including increased rates of in-hospital mortality, conversion to full sternotomy and reoperation. For females, the impact of previous cardiac surgery emphasizes the importance of meticulous surgical planning and long-term follow-up care.