Original ArticlesFacile Minimally Invasive Cardiac Surgery via Ministernotomy
Section snippets
Patient Population
Beginning in January 1996 until January 1997, a total of 82 patients, 57 children and 25 adults, had cardiac operations performed through ministernotomy for treatment of congenital or acquired heart lesions. Children’s ages ranged from 5 days to 15 years (mean, 2 years). Congenital heart lesions approached through ministernotomy included ventricular septal defects (n = 21), atrial septal defects (n = 16), combined atrial and ventricular septal defects (n = 5), resection of subaortic stenosis (n
Results
Ministernotomy was accomplished in all patients. In 3 other patients (all adults), planned ministernotomy was aborted when the aortic annulus was found to be at or actually below the xiphoid (2 patients) or when adhesions were felt to be too difficult to dissect in a reoperation for redo aortic root replacement. In these cases, the rest of the sternum was merely divided and the operation proceeded uneventfully.
Once bypass was underway, no patient required conversion to full sternotomy. In 2 of
Comment
Minimally invasive access to most areas of the body is not only available through a variety of surgical techniques, but this access is expected by the public. One has only to witness the change from open cholecystectomy to laporascopic gall bladder removal to realize the power of public opinion. In exchange for a new, albeit uncomfortable, surgical technique, the patient and his or her health care delivery system were rewarded with a reduced hospital stay, less discomfort, and an earlier return
References (4)
- et al.
Optimal delivery of cardioplegia solution for “redo” operations
J Thorac Cardiovasc Surg
(1992) - et al.
Percutaneous cardiopulmonary bypass to support angioplasty and valvuloplasty—technical considerations
ASAIO Trans
(1989)
Cited by (238)
Minimally Invasive Surgery for Congenital Heart Disease
2024, Annals of Thoracic SurgeryUnilateral pulmonary edema associated factors after minimally invasive mitral valve surgery
2022, Revista Espanola de Anestesiologia y ReanimacionOverview of Aortic Stenosis
2021, Physician Assistant ClinicsUpper Ministernotomy for Pulmonary Valve Repair
2019, Annals of Thoracic Surgery