Ministernotomy for correction of ventricular septal defect
Anh Tuan Vo1,2, Thien Tam Vu3, Dinh Hoang Nguyen3
1Cardiovascular Surgery Department, University Medical Center, University of Medicine and Pharmacy of Ho Chi Minh City, Ho Chi Minh City, Vietnam. dranhtuanvo@gmail.com.
Journal of Cardiothoracic Surgery
|April 27, 2016
Summary
Minimally invasive surgery using ministernotomy for ventricular septal defect repair is safe and effective in pediatric patients. This approach offers improved cosmetic outcomes and shorter hospital stays compared to traditional methods.
Area of Science:
- Pediatric Cardiac Surgery
- Minimally Invasive Cardiac Surgery
- Congenital Heart Disease
Background:
- Minimally invasive surgery in adults motivates similar approaches in pediatric congenital heart surgery.
- Surgical goals include reduced hospital costs and improved cosmetic results.
- This study investigates ministernotomy for ventricular septal defect (VSD) repair.
Purpose of the Study:
- To evaluate the safety and efficacy of ministernotomy for VSD repair in pediatric patients.
- To assess in-hospital and 6-month follow-up outcomes.
- To determine the feasibility of this approach in various surgical techniques and patient weights.
Main Methods:
- Retrospective analysis of 26 pediatric patients undergoing ministernotomy for VSD repair (August 2014 - August 2015).
- Patient age ranged from 14 months to 24 years, with weights from 7.5 to 54 kg.
- Echocardiography confirmed diagnoses; outcomes analyzed included bypass/cross-clamp times, ICU/hospital stay, and complications.
Main Results:
- Successful VSD correction with adequate surgical exposure in all patients.
- Median cardiopulmonary bypass time: 64 minutes; median cross-clamp time: 42 minutes.
- Median ICU stay: 1.5 days; median hospital stay: 5 days. No deaths or severe complications; no residual shunts observed.
Conclusions:
- Ministernotomy is a safe and effective approach for VSD correction in pediatric patients weighing over 7.5 kg.
- The technique provides improved cosmetic results.
- It is adaptable to transatrial or transarterial approaches and suitable for smaller infants.
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