{"id":"https://openalex.org/W2993269443","doi":"https://doi.org/10.1093/icvts/ivz287","title":"Totally endoscopic aortic valve replacement via an anterolateral approach using a standard prosthesis","display_name":"Totally endoscopic aortic valve replacement via an anterolateral approach using a standard prosthesis","publication_year":2019,"publication_date":"2019-11-18","ids":{"openalex":"https://openalex.org/W2993269443","doi":"https://doi.org/10.1093/icvts/ivz287","mag":"2993269443","pmid":"https://pubmed.ncbi.nlm.nih.gov/31800039"},"language":"en","primary_location":{"id":"doi:10.1093/icvts/ivz287","doi":"https://doi.org/10.1093/icvts/ivz287","is_oa":false,"landing_page_url":"https://doi.org/10.1093/icvts/ivz287","pdf_url":null,"source":{"id":"https://openalex.org/S205902839","display_name":"Interactive Cardiovascular and Thoracic Surgery","issn_l":"1569-9285","issn":["1569-9285","1569-9293"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","ki-jl-1","norway-1","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Interactive CardioVascular and Thoracic Surgery","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://nagoya.repo.nii.ac.jp/records/2002549","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5003312124","display_name":"Masayoshi Tokoro","orcid":"https://orcid.org/0000-0002-3908-7823","observed_orcids":["https://orcid.org/0000-0002-3908-7823"]},"institutions":[{"id":"https://openalex.org/I4210132181","display_name":"Japanese Red Cross Nagoya Daiichi Hospital","ror":"https://ror.org/03f918r09","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I2799517759","https://openalex.org/I4210132181"]}],"countries":["JP"],"is_corresponding":true,"raw_author_name":"Masayoshi Tokoro","raw_affiliation_strings":["Department of Cardiovascular Surgery, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan"],"raw_orcid":"https://orcid.org/0000-0002-3908-7823","affiliations":[{"raw_affiliation_string":"Department of Cardiovascular Surgery, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan","institution_ids":["https://openalex.org/I4210132181"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5110385158","display_name":"Sadanari Sawaki","orcid":"https://orcid.org/0009-0007-4329-4183","observed_orcids":["https://orcid.org/0009-0007-4329-4183"]},"institutions":[{"id":"https://openalex.org/I4210132181","display_name":"Japanese Red Cross Nagoya Daiichi Hospital","ror":"https://ror.org/03f918r09","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I2799517759","https://openalex.org/I4210132181"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Sadanari Sawaki","raw_affiliation_strings":["Department of Cardiovascular Surgery, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiovascular Surgery, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan","institution_ids":["https://openalex.org/I4210132181"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000850777","display_name":"Takahiro Ozeki","orcid":"https://orcid.org/0000-0001-6510-5813","observed_orcids":["https://orcid.org/0000-0001-6510-5813"]},"institutions":[{"id":"https://openalex.org/I4210132181","display_name":"Japanese Red Cross Nagoya Daiichi Hospital","ror":"https://ror.org/03f918r09","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I2799517759","https://openalex.org/I4210132181"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Takahiro Ozeki","raw_affiliation_strings":["Department of Cardiovascular Surgery, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiovascular Surgery, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan","institution_ids":["https://openalex.org/I4210132181"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5066049215","display_name":"Mamoru Orii","orcid":"https://orcid.org/0000-0002-5354-6061","observed_orcids":["https://orcid.org/0000-0002-5354-6061"]},"institutions":[{"id":"https://openalex.org/I4210132181","display_name":"Japanese Red Cross Nagoya Daiichi Hospital","ror":"https://ror.org/03f918r09","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I2799517759","https://openalex.org/I4210132181"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Mamoru Orii","raw_affiliation_strings":["Department of Cardiovascular Surgery, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiovascular Surgery, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan","institution_ids":["https://openalex.org/I4210132181"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5070443746","display_name":"Akihiko Usui","orcid":"https://orcid.org/0000-0001-7008-5095","observed_orcids":["https://orcid.org/0000-0001-7008-5095"]},"institutions":[{"id":"https://openalex.org/I60134161","display_name":"Nagoya University","ror":"https://ror.org/04chrp450","country_code":"JP","type":"education","lineage":["https://openalex.org/I60134161"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Akihiko Usui","raw_affiliation_strings":["Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan","institution_ids":["https://openalex.org/I60134161"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5052448342","display_name":"Toshiaki Ito","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I4210132181","display_name":"Japanese Red Cross Nagoya Daiichi Hospital","ror":"https://ror.org/03f918r09","country_code":"JP","type":"healthcare","lineage":["https://openalex.org/I2799517759","https://openalex.org/I4210132181"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Toshiaki Ito","raw_affiliation_strings":["Department of Cardiovascular Surgery, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiovascular Surgery, Japanese Red Cross Nagoya First Hospital, Nagoya, Japan","institution_ids":["https://openalex.org/I4210132181"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":2,"corresponding_author_ids":["https://openalex.org/A5003312124"],"corresponding_institution_ids":["https://openalex.org/I4210132181"],"apc_list":null,"apc_paid":null,"fwci":1.9721,"has_fulltext":false,"cited_by_count":27,"citation_normalized_percentile":{"value":0.8736298,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":99},"biblio":{"volume":"30","issue":"3","first_page":"424","last_page":"430"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10172","display_name":"Cardiac Valve Diseases and Treatments","score":0.9564999938011169,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10172","display_name":"Cardiac Valve Diseases and Treatments","score":0.9564999938011169,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10618","display_name":"Aortic Disease and Treatment Approaches","score":0.019899999722838402,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12053","display_name":"Minimally Invasive Surgical Techniques","score":0.00559999980032444,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/anterolateral-approach","display_name":"anterolateral approach","score":0.9440000057220459},{"id":"https://openalex.org/keywords/operative-time","display_name":"operative time","score":0.6859999895095825},{"id":"https://openalex.org/keywords/postoperative-complications","display_name":"postoperative complications","score":0.5920000076293945}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9634881019592285},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7628746032714844},{"id":"https://openalex.org/C111926329","wikidata":"https://www.wikidata.org/wiki/Q792504","display_name":"Axillary lines","level":2,"score":0.688262403011322},{"id":"https://openalex.org/C2776570981","wikidata":"https://www.wikidata.org/wiki/Q4413093","display_name":"Aortic valve replacement","level":3,"score":0.5788471698760986},{"id":"https://openalex.org/C2778847313","wikidata":"https://www.wikidata.org/wiki/Q1340337","display_name":"Thoracotomy","level":2,"score":0.5755388736724854},{"id":"https://openalex.org/C2776820786","wikidata":"https://www.wikidata.org/wiki/Q580725","display_name":"Endoscope","level":2,"score":0.5701618790626526},{"id":"https://openalex.org/C2778776699","wikidata":"https://www.wikidata.org/wiki/Q1504050","display_name":"Intercostal space","level":2,"score":0.5509122014045715},{"id":"https://openalex.org/C2778715743","wikidata":"https://www.wikidata.org/wiki/Q181802","display_name":"Prosthesis","level":2,"score":0.4627326726913452},{"id":"https://openalex.org/C2779526774","wikidata":"https://www.wikidata.org/wiki/Q831830","display_name":"Median sternotomy","level":2,"score":0.45039102435112},{"id":"https://openalex.org/C2778881276","wikidata":"https://www.wikidata.org/wiki/Q552304","display_name":"Cardiopulmonary bypass","level":2,"score":0.4408298432826996},{"id":"https://openalex.org/C2775854548","wikidata":"https://www.wikidata.org/wiki/Q6882369","display_name":"Mitral valve replacement","level":3,"score":0.43444395065307617},{"id":"https://openalex.org/C2777543888","wikidata":"https://www.wikidata.org/wiki/Q369939","display_name":"Mitral valve","level":2,"score":0.38471394777297974},{"id":"https://openalex.org/C42219234","wikidata":"https://www.wikidata.org/wiki/Q131130","display_name":"Anesthesia","level":1,"score":0.16624614596366882},{"id":"https://openalex.org/C126838900","wikidata":"https://www.wikidata.org/wiki/Q77604","display_name":"Radiology","level":1,"score":0.1416243314743042},{"id":"https://openalex.org/C2780007028","wikidata":"https://www.wikidata.org/wiki/Q2343082","display_name":"Stenosis","level":2,"score":0.13623693585395813}],"mesh":[{"descriptor_ui":"D000368","descriptor_name":"Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000369","descriptor_name":"Aged, 80 and over","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D001021","descriptor_name":"Aortic Valve","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D004724","descriptor_name":"Endoscopy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D005260","descriptor_name":"Female","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006349","descriptor_name":"Heart Valve Diseases","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D006350","descriptor_name":"Heart Valve Prosthesis","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008297","descriptor_name":"Male","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D008875","descriptor_name":"Middle Aged","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013537","descriptor_name":"Sutures","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013908","descriptor_name":"Thoracotomy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false},{"descriptor_ui":"D015331","descriptor_name":"Cohort Studies","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019918","descriptor_name":"Heart Valve Prosthesis Implantation","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D056346","descriptor_name":"Sternotomy","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":false}],"locations_count":3,"locations":[{"id":"doi:10.1093/icvts/ivz287","doi":"https://doi.org/10.1093/icvts/ivz287","is_oa":false,"landing_page_url":"https://doi.org/10.1093/icvts/ivz287","pdf_url":null,"source":{"id":"https://openalex.org/S205902839","display_name":"Interactive Cardiovascular and Thoracic Surgery","issn_l":"1569-9285","issn":["1569-9285","1569-9293"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","ki-jl-1","norway-1","poland-20","vabb-shw"],"host_organization":"https://openalex.org/P4310311648","host_organization_name":"Oxford University Press","host_organization_lineage":["https://openalex.org/P4310311648","https://openalex.org/P4310311647"],"host_organization_lineage_names":["Oxford University Press","University of Oxford"],"type":"journal"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Interactive CardioVascular and Thoracic Surgery","raw_type":"journal-article"},{"id":"pmid:31800039","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/31800039","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Interactive cardiovascular and thoracic surgery","raw_type":"Journal Article"},{"id":"pmh:oai:irdb.nii.ac.jp:01152:0005390077","doi":null,"is_oa":true,"landing_page_url":"https://nagoya.repo.nii.ac.jp/records/2002549","pdf_url":null,"source":{"id":"https://openalex.org/S7407056385","display_name":"Institutional Repositories DataBase (IRDB)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I184597095","host_organization_name":"National Institute of Informatics","host_organization_lineage":["https://openalex.org/I184597095"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"doctoral thesis"}],"best_oa_location":{"id":"pmh:oai:irdb.nii.ac.jp:01152:0005390077","doi":null,"is_oa":true,"landing_page_url":"https://nagoya.repo.nii.ac.jp/records/2002549","pdf_url":null,"source":{"id":"https://openalex.org/S7407056385","display_name":"Institutional Repositories DataBase (IRDB)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I184597095","host_organization_name":"National Institute of Informatics","host_organization_lineage":["https://openalex.org/I184597095"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"doctoral thesis"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":0.98580002784729,"display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":10,"referenced_works":["https://openalex.org/W2009654793","https://openalex.org/W2093595479","https://openalex.org/W2105665970","https://openalex.org/W2108619400","https://openalex.org/W2131918357","https://openalex.org/W2150918059","https://openalex.org/W2522117125","https://openalex.org/W2596979176","https://openalex.org/W2738368381","https://openalex.org/W2800441844"],"related_works":["https://openalex.org/W3042216247","https://openalex.org/W4313894856","https://openalex.org/W4379208753","https://openalex.org/W2936443767","https://openalex.org/W3000828110","https://openalex.org/W4403269625","https://openalex.org/W4388968939","https://openalex.org/W3020679836","https://openalex.org/W7129420860","https://openalex.org/W4415296257"],"abstract_inverted_index":{"OBJECTIVES:":[0],"Totally":[1],"endoscopic":[2,33,53,106,141,171,193,214,222,251,269],"aortic":[3,263],"valve":[4,108,253,267],"replacement":[5],"(AVR)":[6],"is":[7],"still":[8],"a":[9,14,30,68,98,121,257],"challenging":[10],"operation,":[11],"and":[12,35,115,203,225,264],"only":[13],"few":[15],"series":[16],"reports":[17],"exist":[18],"in":[19,60,91,157,169,192,241],"the":[20,61,83,92,116,151,158,170,182,197,204,229,242,248,262,265],"literature.":[21],"The":[22,55,174,185],"purposes":[23],"of":[24,43,129],"this":[25],"study":[26],"were":[27,118,125],"to":[28,102,165,247],"establish":[29],"method":[31],"for":[32,105,250,260],"AVR":[34,136,172,194,234],"evaluate":[36],"its":[37],"initial":[38],"results.":[39],"METHODS:":[40],"A":[41,77,86,110],"total":[42,186],"47":[44],"patients":[45,131,220],"(median":[46],"age":[47],"76":[48],"years,":[49],"17":[50],"men)":[51],"underwent":[52,133,221],"AVR.":[54],"main":[56],"wound":[57],"was":[58,75,80,89,113,162,189,235],"created":[59,240],"right":[62,134,216,243],"anterolateral":[63,244],"4th":[64],"intercostal":[65,94],"space":[66],"through":[67,237],"4-cm":[69],"skin":[70],"incision.":[71],"No":[72,154],"rib":[73],"spreader":[74],"used.":[76],"3-dimensional":[78],"endoscope":[79],"inserted":[81,90],"at":[82],"midaxillary":[84],"line.":[85],"5.5-mm":[87],"trocar":[88],"3rd":[93],"space,":[95],"thus":[96],"creating":[97],"3-port":[99],"setting":[100],"similar":[101,246],"that":[103],"used":[104],"mitral":[107,252,266],"surgery.":[109,254],"standard":[111],"prosthesis":[112],"used,":[114],"sutures":[117],"tied":[119],"using":[120],"knot":[122],"pusher.":[123],"Results":[124],"compared":[126],"with":[127,137],"those":[128],"157":[130],"who":[132],"transaxillary":[135,217],"direct":[138],"vision":[139],"plus":[140],"assist.":[142],"RESULTS:":[143],"Patient":[144],"backgrounds":[145],"did":[146,177,209],"not":[147,178,210],"differ":[148,179,211],"significantly":[149,180,190,212],"between":[150,181],"2":[152,183],"groups.":[153,184],"deaths":[155],"occurred":[156],"entire":[159],"series.":[160],"There":[161],"no":[163],"conversion":[164],"thoracotomy":[166],"or":[167],"sternotomy":[168],"group.":[173],"complication":[175],"rate":[176],"operating":[187],"time":[188,200,206],"shorter":[191],"(188-206":[195],"min);":[196],"cardiopulmonary":[198],"bypass":[199],"(130-128":[201],"min)":[202,208],"cross-clamp":[205],"(90-95":[207],"(median,":[213],"AVR,":[215],"AVR).":[218],"Two":[219],"double-valve":[223,270],"(aortic":[224],"mitral)":[226],"surgery":[227,271],"under":[228],"same":[230],"conditions.":[231],"CONCLUSIONS:":[232],"Endoscopic":[233],"possible":[236],"3":[238],"ports":[239],"chest,":[245],"procedure":[249],"By":[255],"adopting":[256],"common":[258],"approach":[259],"both":[261],"operations,":[268],"can":[272],"be":[273],"performed":[274],"seamlessly.":[275]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":6},{"year":2023,"cited_by_count":9},{"year":2022,"cited_by_count":3},{"year":2021,"cited_by_count":5},{"year":2020,"cited_by_count":3}],"updated_date":"2026-11-07T11:25:07.637180","created_date":"2019-12-13T00:00:00"}