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Updated: Feb 4, 2026

Electromagnetic Navigation Transthoracic Nodule Localization for Minimally Invasive Thoracic Surgery
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Minimally Invasive Cardiac Surgery Without Peripheral Cannulation: A Single Centre Experience.

Suresh Babu Kale1, Senthilkumar Ramalingam1

  • 1Department of Cardiovascular Thoracic Surgery, Meenakshi Hospital, Thanjavur, 613005, Tamil Nadu, India.

Heart, Lung & Circulation
|October 4, 2018
PubMed
Summary
This summary is machine-generated.

Right anterior minithoracotomy offers a safe and effective minimally invasive alternative for congenital heart defect repair. This approach provides excellent cosmetic results and avoids the need for peripheral cannulation, improving patient outcomes.

Keywords:
Cardiopulmonary bypassCongenital cardiac defectsCongenital heart diseaseMinimally invasive cardiac surgeryRight anterior thoracotomy

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Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Minimally Invasive Techniques

Background:

  • Median sternotomy is a traditional approach for cardiac defect correction.
  • Minimally invasive techniques offer potential advantages in outcomes and cosmesis.
  • Right anterior minithoracotomy (RAMT) without peripheral cannulation is explored as an alternative.

Purpose of the Study:

  • To evaluate the safety and efficacy of RAMT for congenital cardiac malformation correction.
  • To assess the cosmetic and functional outcomes of this minimally invasive approach.
  • To determine the suitability of RAMT for a wide spectrum of congenital heart defects.

Main Methods:

  • 145 patients underwent congenital heart defect correction via RAMT with cardiopulmonary bypass.
  • Procedures included atrial septal defect (ASD), ventricular septal defect (VSD), and other complex repairs.
  • Data collected on patient demographics, operative times, and clinical outcomes.

Main Results:

  • No operative mortality or major morbidity observed in the study cohort.
  • Excellent repair and cosmetic results reported for all patients.
  • Early extubation achieved, with 55 patients extubated in the OR and 90 within 3 hours.

Conclusions:

  • RAMT without peripheral cannulation is a safe and effective surgical option for diverse congenital heart defects.
  • The approach yields satisfactory cosmetic results, potentially mitigating psychosocial issues.
  • This technique is particularly effective for right ventricular outlet obstructions.