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Minimally invasive pediatric surgery in uncomplicated congenital heart disease
Minimally invasive pediatric surgery in uncomplicated congenital heart disease
- Source :
- Asian cardiovascularthoracic annals. 21(4)
- Publication Year :
- 2014
-
Abstract
- Background: We aimed to highlight the use of a minimally invasive approach in uncomplicated congenital heart surgery. Patients and methods: We investigated retrospectively 32 children below 10 years of age who underwent elective closure of ostium secundum type ( n = 27), sinus venosus type ( n = 4) and ostium primum type ( n = 1) atrial septal defects through a limited skin incision and partial lower sternotomy between August 2001 and December 2008. All patients had cannulation through the same incision for cardiopulmonary bypass. Results: A pericardial patch was used to close the defect in 8 patients and direct suturing in 24. The mean time from the skin incision to cannulation was 56 ± 23 min. Total bypass time was 27 ± 12 min, and crossclamp time was 15 ± 8 min. Mean length of hospital stay was 4 ± 2 days. We did not encounter any complications or mortality. Conclusions: A minimally invasive approach, consisting of a limited skin incision and partial lower sternotomy, is a safe, reliable, and cosmetically advantageous method in uncomplicated congenital heart disease surgery, which can be performed widely, and may replace the standard approach without increasing mortality and morbidity.
- Subjects :
- Pulmonary and Respiratory Medicine
Male
medicine.medical_specialty
Time Factors
Heart disease
Operative Time
Foramen secundum
Atrial septal defects
Heart Septal Defects, Atrial
Pediatric surgery
medicine
Humans
Minimally Invasive Surgical Procedures
Cardiac Surgical Procedures
Child
Retrospective Studies
Sinus venosus
Heart septal defect
Cardiopulmonary Bypass
Skin incision
business.industry
Suture Techniques
General Medicine
Primary interatrial foramen
Length of Stay
medicine.disease
Sternotomy
Surgery
medicine.anatomical_structure
Treatment Outcome
Child, Preschool
Female
Cardiology and Cardiovascular Medicine
business
Pericardium
Subjects
Details
- ISSN :
- 18165370
- Volume :
- 21
- Issue :
- 4
- Database :
- OpenAIRE
- Journal :
- Asian cardiovascularthoracic annals
- Accession number :
- edsair.doi.dedup.....1f767fb2883d8ee6ad19d4c4085a9d30