Minimal access surgery for the repair of simple congenital heart defects

Murashita, Takashi; Hatta, Eiichiro; Ooka, Tomoyori; Tachibana, Tsuyoshi; Kubota, Takehiro; Ueno, Michihiko; Murakami, Tomoaki; Yasuda, Keishu

doi:10.1007/s11748-004-0128-6

Cited by 2 publications

(3 citation statements)

References 20 publications

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“…Wereported 262±124.40 ml blood loss during the first 24 hours post operatively in RAT group with no cases needed re-exploration for bleeding compared to only one patient in sternotomy group. Other studies showed 140 ± 57 mL [14] . In a similar study done by Narihiro I et al, comparing RAT with sternotomy, showed the same results in 21 patients included in the study.…”

Section: Blood Loss and Need Of Transfusionmentioning

confidence: 82%

“…Demographic data of our study showed that 64% of patients were females with mean age 28.8±6.17 years, with a scar post operatively of 7-8 cm hidden under the breast which gave them an excellent cosmetic appearance and patient satisfaction. Many centers started to use the minimal invasive technique for closure of ASD with good outcome and efficiency same as median sternotomy with better patient satisfaction and pleasing cosmetic scar appearance [12][13][14] .…”

Section: Cosmetic Effectsmentioning

confidence: 99%

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Right Minithoracotomy: Is It Going to Be the Routine Approach for Secundumasd Surgical Closure?

Hussien

Zayed²,

Mohanad³

et al. 2022

Ain Shams Medical Journal

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Background: Ostium secundum ASD used to be surgically closed using the standard median sternotomy, Improvement in surgical techniques encouraged many surgeons to use minimally invasive approaches as an alternative to the conventional one. Aim of the work:To evaluate the outcome and effectiveness of the right anterior thoracotomy approach as an alternative for the median sternotomy for surgical repair of secundum ASD. Methods: This is a prospective observational study done on 50 adult patients diagnosed with ASD of ostium secundum type, indicated for surgery and not amenable to device closure. They were divided into two equal groups: group I, represented 25 patient who underwent ASD repair through conventional median sternotomy (CMS), and group II represented 25 patients underwent right minithoracotomy (RMT). Comparison between groups was done regarding clamp time, bypass time, ventilation time and ICU and hospital stay.Results: Our study showed that RMT patients had significantly smaller incision, less time of mechanical ventilation, less ICU and hospital stay, though having more bypass time when compared with the conventional median sternotomy. No operative or in hospital mortality with excellent patient satisfaction.Conclusions: RMT used for surgical closure of secundum ASD is a safe and effective procedure showing many advantages over sternotomy, and can be used as a routine approach for such cases.

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Section: Blood Loss and Need Of Transfusionmentioning

confidence: 82%

Section: Cosmetic Effectsmentioning

confidence: 99%

Right Minithoracotomy: Is It Going to Be the Routine Approach for Secundumasd Surgical Closure?

Hussien

Zayed²,

Mohanad³

et al. 2022

Ain Shams Medical Journal

View full text Add to dashboard Cite

show abstract

“…In the last two decades, mini-invasive closure of ASD has become a preferred procedure with equally good surgical results and better cosmetic results [ 14 - 16 ] compared to midline sternotomy. At our institute, all ASD patients were operated through right anterior minithoracotomy with peripheral CPB in adults and central cannulation in small children (10 kg).…”

Section: Discussionmentioning

confidence: 99%

Anterior Minithoracotomy: a Safe Approach for Surgical ASD Closure & ASD Device Retrieval

Wadhawa

Doshi

Hinduja

et al. 2017

Braz J Cardiovasc Surg

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ObjectiveMidline sternotomy is the preferred approach for device migration following transcatheter device closure of ostium secundum atrial septal defect. Results of patients operated for device migration were retrospectively reviewed after transcatheter closure of atrial septal defect.MethodsAmong the 643 patients who underwent atrial septal defect with closure device, 15 (2.3%) patients were referred for device retrieval and surgical closure of atrial septal defect. Twelve patients underwent device retrieval and surgical closure of atrial septal defect through right antero-lateral minithoracotomy with femoral cannulation. Three patients were operated through midline sternotomy.ResultsTwelve patients operated through minithoracotomy did not require conversion to sternotomy. Due to device migration to site of difficult access through thoracotomy, cardiac tamponade and hemodynamic instability, respectively, three patients were operated through midline sternotomy. Mean aortic cross-clamp time and cardiopulmonary bypass time were 28.1±17.7 and 58.3±20.4 minutes, respectively. No patient had surgical complication or mortality. Mean intensive care unit and hospital stay were 1.6±0.5 days and 7.1±2.2 days, respectively. Postoperative echocardiography confirmed absence of any residual defect and ventricular dysfunction. In a mean follow-up period of six months, no mortality was observed. All patients were in New York Heart Association class I without wound or vascular complication.ConclusionMinithoracotomy with femoral cannulation for cardiopulmonary bypass is a safe-approach for selected group of patients with device migration following transcatheter device closure of atrial septal defect without increasing the risk of cardiac, vascular or neurological complications and with good cosmetic and surgical results.

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Minimal access surgery for the repair of simple congenital heart defects

Cited by 2 publications

References 20 publications

Right Minithoracotomy: Is It Going to Be the Routine Approach for Secundumasd Surgical Closure?

Right Minithoracotomy: Is It Going to Be the Routine Approach for Secundumasd Surgical Closure?

Anterior Minithoracotomy: a Safe Approach for Surgical ASD Closure & ASD Device Retrieval

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