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Submitted: 17 May 2007 Modified: 27 February 2017
HERDIN Record #: PCHRD051607060549

Minimal-access median sternotomy (manubrium-sparing) for repair of atrial septal defect: An alternative approach .

Jaime Nuevo,
Rochie L. Hojilla

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Minimally invasive cardiac surgical techniques recently have been applied in the management of a variety of intracardiac lesions. Whether this approach has traditional advantages over the conventional techniques is not well established. This retrospective study was designed to evaluate the effects of lower ministernotomy (manubrium-sparing) in the repair of atrial septal defects.METHODS: Forty patients (26 boys and 14 girls; aged 2 months to 14 years; body weight, 30.0 +/- 14 kg) who underwent repair of atrial septal defect were divided into two groups: ministernotomy with manubrium-sparing group (N=20) and a full sternotomy group (N=20) were operated on. RESULTS: Closure of the defect was performed successfully in all patients. The duration of cardiopulmonary bypass was 50.5 +/- 13 minutes and the total operative time was 2.5 +/- 0.4 hours. All the patients recovered rapidly from their operation and had an uneventful postoperative course. Follow-up (mean, 3 months; range, 1 to 6 months) was complete in all patients. There were no late deaths. Transthoracic echocardiographic examination showed no residual shunt. CONCLUSIONS: Our experience demonstrates that manubrium-sparing is technically feasible and an alternative option for the repair of atrial septal defect.

Publication Type
Journal
Publication Sub Type
Journal Article, Original
Title
The Philippine Journal of Thoracic and Cardiovascular Surgery
Frequency
Annual
Publication Date
-December 2006
Volume
13
Page(s)
15-19
LocationLocation CodeAvailable FormatAvailability
Philippine Council for Health Research and Development Library Box No. 8 Fulltext pdf (Request Document)
1. Lewis, RJ , Caccavale, RJ , Sisler, GE . "Special report: videoendoscopic thoracic surgery" N Engl J Med 88, 473-475, 1991. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/1891124
2. Liu, HP , Lin, PJ , Chang, JP , Chang , CH . "Video assisted thoracic surgery: manipulation without trocar in 112 consecutive procedures" Chest 104, 1452-1454, 1993. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/8222805
3. Liu, HP , Chang , CH , Lin, PJ , Hsieh, HC , Chang, JP , Hsieh, MJ . "Video-assisted thoracic surgery: the Chang Gung experience" J Thorac Cardiovasc Surg 108, 834-840, 1994. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/7967665
4. Landreneau, RJ , Mack, MJ , Hazelrigg, SR , et al., . "Video assisted thoracic surgery: basic technical concepts and intercostal approach strategies" Ann Thorac Surg 54, 800-807, 1992. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/1417251
5. Burke, RP , Wernovsky, G , Van de Velde, M , Hansen, D , Castaneda, AR . "Video assisted thoracoscopic surgery for congenital heart disease" J Thorac Cardiovasc Surg 109, 499-508, 1995. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/7877311
6. Burke, RP , Chang, AC . "Video-assisted thoracoscopic division of a vascular ring in an infant: a new operative technique" J Cardiac Surg 8, 537-540, 1993. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/8219533
7. Beneti, FJ , Ballester, C . "Use of thoracoscopy a minimal thoracotomy in mammary-coronary bypass to left anterior descending artery, without extracorporeal circulation. Experience in 2 cases" J Cardiovasc Surg 36, 159-161, 1995. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/7790335
8. Magovern, JA , Mack, MJ , Landreneau, RJ , et al., . "The minimally invasive approach reduces the morbidity of coronary artery bypass" Circulation 94(Suppl 1): 52, 1996
9. Acuff, TE , Landreneau, RJ , Griffith, BP , Mack, MJ . "Minimally invasive coronary artery bypass grafting" Ann Thorac Surg 61, 135-137, 1996
10. Calafoire, AM , Angelini, GD , Bergsland, J , Salerno, TA . "Minimally invasive coronary artery bypass grafting" Ann Thorac Surg 62, 1545-1548, 1996
11. Lin, PJ , Chang , CH , Chu, JJ , et al., . "Video-assisted mitral valve surgeries" Ann Thorac Surg 62, 1781-1787, 1996
12. Chang , CH , Lin, PJ , Chu, JJ , et al., . "Video assisted cardiac surgery in closure of atrial septal defect" Ann Thorac Surg 61, 697-701, 1996
13. Tsai, FC , Lin, PJ , Chang , CH , et al., . "Video-assisted cardiac surgery: preliminary experience in reoperative mitral valve surgery" Chest 110, 1603-1607, 1996. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/8989084
14. Carpentier, A , Loulmet, D , Carpentier, A , et al., . "First open heart operation (mitral valvuloplasty) under videosurgery through a minithoracotomy" C R Acad Sci Paris 319, 219-233, 1996. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/8761668
15. Cosgrove III, DM , Sabik, JF . "Minimally invasive approach for aortic valve operations" Ann Thorac Surg 62, 596-597, 1996. Retrieved from: http://ats.ctsnetjournals.org/cgi/content/full/62/2/596
16. Kirklin, JW , Barratt-Boyes, BG . Ventricular septal defect. In: BG Barratt-Biyes (editor): Cardiac Surgery New York: Churchill Livingstone Inc., 1993. 110-111. (2nd ed)
17. Kirklin, JW , Barratt-Boyes, BG . Cardiopulmonary bypass established by peripheral cannulation. In: JW Kirklin and BG Barratt-Boyes (editors): Cardiac Surgery New York: Churchill Livingstone Inc., 1993. 110-111. (2nd ed)
18. Lin, PJ , Chang , CH , Tan, PP C, et al., . "Protection of the brain by retrograde cerebral perfusion during circulation arrest " J Thorac Cardiovasc Surg 108, 969-974, 1994. Retrieved from: http://jtcs.ctsnetjournals.org/cgi/content/full/108/5/969
19. Lin, PJ , Chang , CH , Tan, PP C, et al., . "Prolonged circulatory arrest in moderate hypothermia with retrograde cerebral perfusion: is brain ischemic?" Circulation 94(suppl 2): 169-172, 1996. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/8901740
20. Akins, CW . "Noncardioplegic myocardial preservation for coronary revascularization" J Thorac Cardiovasc Surg 88, 174-181, 1984. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/6611456
21. Akins, CW , Carroll, DL . "Event-free survival following non-emergency myocardial revascularization during hypothermic fibrillatory arrest" Ann Thorac Surg 43, 628-633, 1987. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/2954511
22. Tharion, J , Cartmill, TB , Johnson, DC , et al., . "Transpulmonary arterial repair of supracristal ventricular septal defects in infancy" J Thorac Cardiovasc Surg 80, 948-950, 1980. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/7431994
23. Chang , CH , Lee, MC , Hsieh, MJ . "Surgical treatment of supracristal type of ventricular septal defect" Scand J Thorac Cardiovasc Surg 22, 221-225, 1988. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/3227324
24. Houyel, L , Vaksmann, G , Fournier, A , Davignon, A . "Ventricular arrhythmias after correction of ventricular septal defects: importance of surgical approach" J Am Coll Cardiol 16, 1224-1228, 1990. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/2229771
25. Vaksmann, G , Fournier, A , Chartrand, C , Stanley, P , Davignon, A . "Arrhythmia disorders after repair of ventricular septal defects. Comparison of atrial and ventricular approaches" Arch Mal Coeur Vaiss 82, 731-735, 1989. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/2500097
26. Lin, PJ , Chang , CH , Chu, JJ , et al., . "Video-assisted coronary artery bypass grafting hypothermic fibrillatory arrest" Ann Thorac Surg 63, 1113-1117, 1997. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/9124915