title: Ministernotomy for repair of congenital cardiac disease.
abstract: We report our experience with repair of a variety of congenital heart defects utilizing a ministernotomy incision. A ministernotomy was used in 79 patients with a variety of congenital heart diseases from November 2004 to August 2007. Patients included 36 males and 43 females with ages ranging from 1 month to 122 months (median age, 22 months). The weight ranged from 3.5 kg to 40 kg (median weight, 10.9 kg). There were no deaths, and one conversion to full median sternotomy (1/79, 1.3%). The median cardiopulmonary bypass time was 59 min, and median aortic cross-clamp time was 38 min. One patient underwent atrial septal defect (ASD) repair with fibrillatory arrest time of 35 min. The operating time ranged from 103 min to 312 min (median operating time, 168 min). The intensive care unit (ICU) stay ranged from 1 to 21 days (median ICU stay, 1 day) and the hospital stay ranged from 2 to 56 days (median hospital stay, 4 days). There were no reinterventions for residual cardiac defects. We demonstrate the safety and efficacy of ministernotomy for the correction of a range of congenital heart defects with improved cosmetic results.
authors.affiliation: Department of Cardiothoracic Surgery, UT Southwestern Medical Center at Dallas, Dallas, TX 75390, USA. VASEBA@parknet.pmh.org
authors.forename: Vinod A
authors.initials: VA
authors.lastname: Sebastian
authors.forename: Kristine J
authors.initials: KJ
authors.lastname: Guleserian
authors.forename: Steven R
authors.initials: SR
authors.lastname: Leonard
authors.forename: Joseph M
authors.initials: JM
authors.lastname: Forbess
mesh_terms: D006348:Cardiac Surgical Procedures / Q000009:adverse effects; D002315:Cardiopulmonary Bypass; D002648:Child; D002675:Child, Preschool; D003250:Constriction; D005260:Female; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D007223:Infant; D007362:Intensive Care Units; D007902:Length of Stay; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D012189:Retrospective Studies; D056346:Sternotomy / Q000009:adverse effects / Q000379:methods*; D013997:Time Factors; D016896:Treatment Outcome