Publication Name	World Journal of Cardiology
Manuscript ID	110838
Country	Nepal

Category	Cardiac & Cardiovascular Systems
Manuscript Type	Meta-Analysis
Article Title	Partial upper sternotomy versus full median sternotomy in obese patients undergoing aortic valve replacement: A meta-analysis
Manuscript Source	Unsolicited Manuscript
All Author List	Aarushi Gupta, Tinatin Chikhradze, Afrah Arshad, Rahmah Ashar Sakrani, Zainab Khan, Melake Getahun, Samreen Rizwan Ahmed Shaikh, Wajiha Syed, Tanish Baweja, Abhijith Remesan, Cheryl Lewis, Joy Doshi, Muneeb Khawar, Asraf Hussain and Muhammad Muneeb Khawar
Funding Agency and Grant Number
Corresponding Author	Asraf Hussain, MD, Department of Cardiology, Chitwan Medical College, Bharatpur-10, Chitwan, Bharatpur 33915, Nepal. drasrafcardiology@gmail.com
Key Words	Partial upper sternotomy; Full median sternotomy; Aortic valve replacement; Obesity; Intensive care unit stay; Cardiopulmonary bypass time; Minimally invasive surgery; Postoperative complications
Core Tip	This meta-analysis innovatively demonstrates that partial upper sternotomy (PUS) is a safe and effective alternative to full median sternotomy for obese patients (body mass index ≥ 30 kg/m²) undergoing aortic valve replacement, uniquely reducing intensive care unit stay by approximately 2.67 days. Despite a trend toward longer cardiopulmonary bypass times, PUS maintains equivalent safety profiles across major complications, offering a compelling minimally invasive option to enhance recovery in this high-risk population.
Citation	Gupta A, Chikhradze T, Arshad A, Sakrani RA, Khan Z, Getahun M, Shaikh SRA, Syed W, Baweja T, Remesan A, Lewis C, Doshi J, Khawar M, Hussain A, Khawar MM. Partial upper sternotomy versus full median sternotomy in obese patients undergoing aortic valve replacement: A meta-analysis. World J Cardiol 2025; In press

Received	2025-06-17 11:05
Peer-Review Started	2025-06-17 11:06
To Make the First Decision
Return for Revision	2025-06-24 10:51
Revised	2025-06-25 08:10
Second Decision	2025-08-15 02:54
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-08-15 07:34
Articles in Press	2025-08-15 07:34
Publication Fee Transferred
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1949-8462 (online)
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