Document Detail


Minimally invasive repair of atrial septal defects.
MedLine Citation:
PMID:  9527209     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Minimally invasive pediatric cardiac surgical techniques continue to evolve and remain challenged by technologic advances in percutaneous devices developed to treat congenital heart disease exclusive of cardiopulmonary bypass. Public tenacity for "incisionless" operations, however, must remain balanced scrupulously against the collective safety of the surgical procedure. METHODS: Twenty-three pediatric patients underwent repair of atrial septal defects through a partial sternal split and a limited skin incision (5 to 7 cm) at our institution between July 1995 and October 1996. RESULTS: The average age of the patients was 6 years and 2 months (range, 19 months to 15 years) and the average weight was 23.3 kg (range, 11.3 to 61.7 kg). The average bypass time was 35 minutes (range, 19 to 81 minutes). Fourteen patients had a single dose of blood cardioplegia administered, whereas 9 had ventricular fibrillation electrically induced. Twenty-two patients had ostium secundum defects and 1 had a sinus venosus defect. The average length of the hospital stay was 3.6 days (range, 3 to 6 days). There were no operative or late deaths. CONCLUSIONS: Modifications of this technique continue to evolve as an effective cosmetic alternative to submammary and thoracotomy approaches. Advantages of this modification include excellent cosmetic results in all age groups and the concomitant security and familiarity of mediastinal access and full sternotomy when required.
Authors:
M D Black; R M Freedom
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  65     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1998 Mar 
Date Detail:
Created Date:  1998-04-21     Completed Date:  1998-04-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  765-7     Citation Subset:  AIM; IM    
Affiliation:
Division of Cardiovascular Surgery, The Hospital for Sick Children and The University of Toronto, Ontario, Canada. michael.black@mailhub.sickkids.on.ca
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Cardiopulmonary Bypass
Child
Child, Preschool
Female
Heart Arrest, Induced
Heart Septal Defects, Atrial / surgery*
Humans
Infant
Length of Stay
Male
Surgical Procedures, Minimally Invasive / methods*
Time Factors
Comments/Corrections
Comment In:
Ann Thorac Surg. 2001 Mar;71(3):1065-6   [PMID:  11269441 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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