Original articleCardiovascularMinimally Invasive Congenital Cardiac Surgery Through Right Anterior Minithoracotomy Approach
Section snippets
Material and Methods
From October 2002 through February 2007, 75 patients underwent open heart operations through a RAMT approach. Age ranged from 1.2 to 56 years (mean, 9.26). Sixty of them were younger than 18 years. Mean body weight was 19.59 ± 24.3 kg (range, 8.5 to 118 kg). Baseline characteristics, type of defect, and surgical procedures are listed in Table 1. Institutional Review Board approval was obtained for the study.
Results
There were no deaths in this series of 75 patients. No patient required conversion to full sternotomy. The mean CPB time was 58.67 ± 35.11 minutes (range, 32 to 263). In 11 patients in whom we used aortic cross-clamp, the mean aortic cross-clamping time was 35.03 ± 24.84 minutes (range, 13 to 142). Sixty-five patients were extubated in the operating room, and the remaining 10 patients were extubated within 4 hours.
Postoperative electrocardiogram showed normal sinus rhythm in all patients.
Comment
Chest scars have significant adverse psychological consequences and social impact on growing boys and girls. The impact is more significant for them than for adult patients. In the current era of a growing interest in minimally invasive surgical techniques in cardiac surgery in general, there is a legitimate desire to adopt these approaches for the pediatric population.
During the last decade, several minimally invasive surgical techniques with or without cardioscopy have been introduced to
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