Prior-González OA, Rendón-Isaza JC, Quintero-Gómez AA, Zapata SJA, Montoya JD, Pérez-Jaramillo LE

Language: English
References: 4
Page: 130-133
PDF size: 193.87 Kb.

ABSTRACT

Background. Currently, surgical techniques and extensive knowledge of anatomy and physiology in congenital heart defects allow the surgeon to innovate in surgical approaches, in order to offer the patients better cosmetic results and similar post-operative outcomes in comparison to traditional approaches. Since 2014, we started to perform minimally invasive congenital surgery for closure of atrial septum defects, ventricular septal defects, Scimitar Syndrome, mitral valve repair and tricuspid valve repair. The purpose of this article is to demonstrate the efficacy and safety of the minimally invasive approach in pediatric patients. Material. A 4-year retrospective cohort of minimally invasive surgeries in pediatric patients is presented. Post-surgical and 30 days outcomes after the procedure were documented. Results. This series include 31 patients with ages between 2 and 15 years. Average weight was 28 kg. Most frequent etiology in 71.1% ostium secundum type atrial septal defect. Superior and inferior sinus venosus type atrial septal defects in 16.1%, severe mitral insufficiency, severe tricuspid insufficiency due to precordial trauma, interventricular communication and Scimitar syndrome, individually in 3.2%. The average cardiopulmonary bypass time was 71 minutes, aortic cross-clamping time was 36 minutes. Average intensive care unit stay 1 day, in-hospital stay 5.64 days, mean chest drainage 141 cc, removal of drainages at 2 days. Mortality 0%, surgical site infection 0%. Conclusions. Minimally invasive cardiac surgery in pediatric patients is a safe approach. It offers similar results to traditional approaches with a mortality and infection of 0%. Cosmetic results offer patient satisfaction.

REFERENCES

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