Commentary: A synergy of two is better than one: Modern-day heart team approach to robotic congenital heart surgery

Turek, Joseph W.; Ad, Niv

doi:10.1016/j.xjtc.2020.09.029

Cited by 1 publication

(1 citation statement)

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“…Successful minimally invasive congenital cardiac surgery requires a team approach. As previously mentioned, cross collaboration with our adult thoracic and cardiac colleagues helped accelerate our learning curve, but the team should also include those outside one's institution (20,21). We performed our operations at a high volume center with the assistance of our adult colleagues who specialize in these minimally invasive approaches.…”

Section: Discussionmentioning

confidence: 99%

A single center experience with minimally invasive approaches in congenital cardiac surgery

Nellis¹,

Daneshmand²,

Gaca³

et al. 2021

J Thorac Dis

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Background: Cardiac surgery is a technically demanding field with an appreciable learning curve that extends beyond formal training. Minimally invasive congenital cardiac surgery has one of the steepest learning curves. Early complications often discourage surgeons, particularly those at lower volume centers, from pursuing innovative approaches. Over the past three years, we have utilized a number of minimally invasive approaches including pulmonary valve replacement, anomalous aortic origin coronary artery repair, atrial septal defect repair, epicardial lead placement, and partial anomalous pulmonary venous return. Herein we report on our experience performing minimally invasive congenital cardiac surgery, lessons learned, and how our approach has evolved. Methods: We performed a single institution, retrospective review, wherein continuous variables were reported as median (interquartile range). Results: Between September 2017 and May 2020, minimally invasive approaches were attempted on 49 patients with a median age of 19 years (14-47 years) for nine distinct congenital cardiac diagnoses. Seven patients (14%) required conversion to larger incisions, including four patients or 36% of those undergoing anomalous aortic origin of a coronary artery repair. Patients who were converted had a higher body mass index 33.1 (31.7-37.8) than those who were not (24.2, 20.8-29.3) (P=0.009). Conclusions: Minimally invasive approaches for congenital cardiac conditions require a team approach.Patients with a body mass index greater than 30 should be counseled on the higher rate of conversion. We no longer perform minimally invasive anomalous aortic origin of a coronary artery repair given the high rate of conversions and complications. Surgeons attempting this procedure should do so cautiously.

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Section: Discussionmentioning

confidence: 99%

A single center experience with minimally invasive approaches in congenital cardiac surgery

Nellis¹,

Daneshmand²,

Gaca³

et al. 2021

J Thorac Dis

Self Cite

View full text Add to dashboard Cite

show abstract

Commentary: A synergy of two is better than one: Modern-day heart team approach to robotic congenital heart surgery

Abstract: Robotic 2-patch repair of sinus venosus defect with partial anomalous pulmonary veins. 1

Cited by 1 publication

References 3 publications

A single center experience with minimally invasive approaches in congenital cardiac surgery

A single center experience with minimally invasive approaches in congenital cardiac surgery

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