Minimally invasive pediatric surgery in uncomplicated congenital heart disease
Asian Cardiovascular and Thoracic Annals, cilt.21, sa.4, ss.414-417, 2013 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 21 Sayı: 4
- Basım Tarihi: 2013
- Doi Numarası: 10.1177/0218492312454669
- Dergi Adı: Asian Cardiovascular and Thoracic Annals
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.414-417
- Anahtar Kelimeler: atrial, Cardiac surgical procedures, congenital, heart defects, heart septal defects, minimally invasive, sternotomy, surgical procedures
- Sağlık Bilimleri Üniversitesi Adresli: Hayır
Özet
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. © 2012 The Author(s).