HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Karthekeyan, B. R. Articles by Kumar, S. M. Search for Related Content PubMed PubMed Citation Articles by Karthekeyan, B. R. Articles by Kumar, S. M.

Lower Ministernotomy and Fast Tracking for Atrial Septal Defect

Sri Ramachandra Medical College and Research Institute Chennai, India

Baskar Ranjith Karthekeyan, MD Tel: +91 98411 36568 Fax: +9144 24769033 Email: ranjithb73{at}gmail.com, Sri Ramachandra Medical College and Research Institute, No. 1 Ramachandra Nagar, Porur, Chennai–600116, Tamilnadu, India.

ABSTRACT

We report our experience with a 3–5-cm lower ministernotomy incision for closure of atrial septal defect in 53 patients. Fibrillatory arrest was used in 19 patients, and crossclamping with cardioplegia in 33. One patient had to be converted from fibrillatory arrest to crossclamping with cardioplegic arrest. The mean bypass time was 39.6 ± 13.1 min, arrest time was 9.9 ± 4.5 min, and crossclamp time was 20.7 ± 8.69 min. All patients recovered without adverse events. They were fast tracked to recovery and extubated after 63.4 ± 9.2 min. The mean intensive care unit stay was 1.07 ± 0.33 days, and hospital stay was 3.07 ± 0.38 days. The ministernotomy approach was used successfully in 51 patients; in the other 2, it had to be converted to a full sternotomy because of technical difficulties. Our experience confirms that this technique offers satisfactory cosmetic results, stable sternal reconstruction, good surgical exposure, minimal interference with respiratory mechanics, and minimal pain, allowing extubation in the operating room and a speedy recovery.

Key Words: Atrial Septal Defect • Heart Defects • Congenital • Heart Septal Defects • Atrial • Surgical Procedures • Minimally Invasive

Asian Cardiovasc Thorac Ann 2010; 18:166-169
© 2010 by SAGE Publications
DOI: 10.1177/0218492310362004

This article has been cited by other articles:

				B. R. Karthekeyan Minimally invasive approach for congenital cardiac defects: reply Asian Cardiovasc Thorac Ann, February 1, 2011; 19(1): 79 - 79. [Full Text] [PDF]

				N. Muthialu Minimally Invasive Approach for Congenital Cardiac Defects Asian Cardiovasc Thorac Ann, August 1, 2010; 18(4): 404 - 404. [Full Text] [PDF]