Surgical closure of atrial septal defect Minimally invasive cardiac surgery or median sternotomy?

Abstract

Our results suggest that MICS is a good option for surgical closure of ASD.

Improvement after Surgical Closure of Secundum Atrial Septal Defects in Adults

“…In other study, all patients either post sternotomy or thoracotomy recovered rapidly from the surgery. Follow-up was complete in all patients, with no late complications and no residual shunt post ASD repair [21].…”

Clinical Outcomes of Minimally Invasive Endoscopic and Conventional Sternotomy Approaches for Atrial Septal Defect Repair

“…[1][2][3] However, patients undergoing ASD repair are often younger and relatively healthier than the typical cardiac surgical population and are often interested in less invasive surgical approaches. Furthermore, given the increased prevalence of women with ASD, the importance of a more cosmetically appealing incision may be even greater.…”

“…[1][2][3] Adult patients undergoing ASD closure are often younger, have few comorbidities and may have greater concerns about the cosmetic implications of open surgical repair. Percutaneous catheter-based ASD closure devices are being successfully used in patients with suitable anatomy, but require prosthetic device implantation and lifelong antiplatelet therapy.…”

Correção de defeitos cardíacos congênitos simples em crianças e adolescentes por meio de minitoracotomias

“…By using minimal skin incisions surgical trauma can be reduced. Nevertheless, it is still controversial whether or not minimally invasive approaches actually reduce postoperative pain and bleeding, and improve respiratory function 4,8 .…”

“…Potential advantages include improved cosmetic results and comfort for the patient as well as shorter hospital stays, which impact on total cost 9 . Approaches that are widely used for the pediatric population include the anterior thoracotomy 5,8,[10][11] and upper or lower minimal access sternotomy [12][13][14] , with or without video assistance. Important factors for the surgeon, especially in congenital heart disease, are adequate exposure for precise intracardiac repair, safe application of cardiopulmonary bypass through a central or peripheral site and adequate myocardial protection.…”