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ISSN 2448-5640 (Print)
Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2023, Number 2

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Cir Card Mex 2023; 8 (2)

Implementation of a minimally invasive approach program for atrial septal defect correction in pediatric patients. Initial results

Ramírez-Cedillo D, López-Taylor MA, Medina-Andrade CA, Jiménez-Fernández J, Massini-Aguilera I, Peña JRA, Nuñez-Faña RG

Language: English
References: 7
Page: 37-40
PDF size: 264.13 Kb.


ABSTRACT

Objective. The initial objective of minimally invasive cardiac surgery for congenital heart disease was to perform it thought smaller incisions, avoiding a complete sternotomy and its inherent complications, as well as being more aesthetically attractive. It is currently added to reduce psychological trauma and improve post-surgical body acceptance. The aim is to present the current status of the correction of atrial septal defects with minimally invasive approaches in pediatric patients at our institution. Material. Retrospective study from December to March 2022, pediatric patients with atrial defects with minimally invasive repair were included. Results. To date, three patients have been corrected; two females, aged 3 to 12 years, with an average weight of 22 kg. The size of the defect a minimum of 16mm by 8mm and a maximum of 30mm by 28mm. In 2 patients, a lateral axillary and anterolateral thoracotomy was performed, and another with an anterior periaerolar thoracotomy. Mean cardiopulmonary bypass time was 52 minutes and aortic cross-clamping time of 69 minutes. No patient required vasoactive inotropic support for more than 24 hours, and ventilation time was less than 4 hours. All patients were discharged at 72 hours after procedure. Conclusions. Minimally invasive pediatric cardiac surgery is now becoming routine practice in many centers. Our recent experience demonstrates that a comprehensive program allows for a safe approach for the patient.


REFERENCES

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