Abstract
Surgical closure of cardiac defects via a full mid-line #sternotomy
has been considered the gold standard for over 50 years. Due to the boom
in interventional cardiology and the proliferation of techniques such
as laparoscopy or #thoracoscopy in other surgical specialties, several
teams have adopted alternative approaches to median sternotomy [1-7]. The initial enthusiasm, fuelled by the technical advances of the past
twenty-five years, stood against the reticence of those with a
traditional approach. Doubts regarding
the complexity and operative time of the technique, as well as its
outcomes, prevented minimally invasive surgery from becoming widely used
in congenital heart disease. Among the most frequent alternative
approaches (Figure 1) we find: lower #mini-sternotomy [8-11], right
sub-mammary [1,12-16], #postero-lateral thoracotomy [17,18] and #right axillary incisions [19-23]. Main advantages are #cosmesis and earlier
recovery, as well as saving blood products and lower infection rates.
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Minimally Invasive Pediatric Cardiac Surgery is Here to Stay by Juan Miguel Gil Jaurena in BJSTR
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