MINIMAL INVASIVE TECHNIQUES IN PEDIATRIC OPEN HEART SURGERY: MINI STERNOTOMIES

Kıvanç METİN, Nejat SARIOSMANOĞLU, Eyüp HAZAN, Baran UĞURLU, Öztekin OTO

Dokuz Eylül Üniversitesi Tıp Fakültesi, Göğüs Kalp ve Damar Cerrahisi Ana Bilim Dalı, İzmir, TURKEY

Background: Minimally invasive techniques are in use for many cardiac pathologies. Most recent methods such as off-pump, Midcab or robotic surgery are mostly usable for adult coronary by-pass surgery cases.

Methods: We have performed some types of minimal invasive techniques for pediatric cases in our institution since 1993. Ten cases with different cardiac lesions were operated via a mini sternotomy. We did not observe any operative or postoperative complication in those cases.

Results: There was no early or late morbidity and mortality. Patients were discharged from the hospital between 3 and 8 days (mean 5 days).

Conclusions: We believe that mini sternotomy is a very useful and safe method for open heart surgery. There is no need for specialized instruments and it allows a familiar exposure to the surgeon.

Keywords : Minimally invasive, congenital, open heart surgery

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