Document Detail


Ministernotomy for repair of congenital cardiac disease.
MedLine Citation:
PMID:  19684030     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We report our experience with repair of a variety of congenital heart defects utilizing a ministernotomy incision. A ministernotomy was used in 79 patients with a variety of congenital heart diseases from November 2004 to August 2007. Patients included 36 males and 43 females with ages ranging from 1 month to 122 months (median age, 22 months). The weight ranged from 3.5 kg to 40 kg (median weight, 10.9 kg). There were no deaths, and one conversion to full median sternotomy (1/79, 1.3%). The median cardiopulmonary bypass time was 59 min, and median aortic cross-clamp time was 38 min. One patient underwent atrial septal defect (ASD) repair with fibrillatory arrest time of 35 min. The operating time ranged from 103 min to 312 min (median operating time, 168 min). The intensive care unit (ICU) stay ranged from 1 to 21 days (median ICU stay, 1 day) and the hospital stay ranged from 2 to 56 days (median hospital stay, 4 days). There were no reinterventions for residual cardiac defects. We demonstrate the safety and efficacy of ministernotomy for the correction of a range of congenital heart defects with improved cosmetic results.
Authors:
Vinod A Sebastian; Kristine J Guleserian; Steven R Leonard; Joseph M Forbess
Publication Detail:
Type:  Journal Article     Date:  2009-08-14
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  9     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-15     Completed Date:  2009-12-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  819-21     Citation Subset:  IM    
Affiliation:
Department of Cardiothoracic Surgery, UT Southwestern Medical Center at Dallas, Dallas, TX 75390, USA. VASEBA@parknet.pmh.org
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MeSH Terms
Descriptor/Qualifier:
Cardiac Surgical Procedures* / adverse effects
Cardiopulmonary Bypass
Child
Child, Preschool
Constriction
Female
Heart Defects, Congenital / surgery*
Humans
Infant
Intensive Care Units
Length of Stay
Male
Retrospective Studies
Sternotomy / adverse effects,  methods*
Surgical Procedures, Minimally Invasive
Time Factors
Treatment Outcome
Comments/Corrections
Comment In:
Interact Cardiovasc Thorac Surg. 2009 Nov;9(5):822   [PMID:  19828655 ]
Interact Cardiovasc Thorac Surg. 2009 Nov;9(5):822   [PMID:  19828654 ]

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


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