PMID: 11345388May 10, 2001Paper

Minimally invasive or interventional repair of atrial septal defects in children: experience in 171 cases and comparison with conventional strategies

Journal of the American College of Cardiology
R FormigariL Ballerini

Abstract

The goal of this study was to evaluate percutaneous interventional and minimally invasive surgical closure of secundum atrial septal defect (ASD) in children. Concern has surrounded abandoning conventional midline sternotomy in favor of the less invasive approaches pursuing a better cosmetic result and a more rational resource utilization. A retrospective analysis was performed on the patients treated from June 1996 to December 1998. One hundred seventy-one children (median age 5.8 years, median weight 22.1 kg) underwent 52 device implants, 72 minimally invasive surgical operations and 50 conventional sternotomy operations. There were no deaths and no residual left to right shunt in any of the groups. The overall complication rate causing delayed discharge was 12.6% for minimally invasive surgery, 12.0% for midline sternotomy and 3.8% for transcatheter device closure (p < 0.01). The mean hospital stay was 2.8 +/- 1.0 days, 6.5 +/- 2.1 days and 2.1 +/- 0.5 days (p < 0.01); the skin-to-skin time was 196 +/- 43 min, 163 +/- 46 min and 118 +/- 58 min, respectively (p < 0.001). Extracorporeal circulation time was 49.9 +/- 10.1 min in the minithoracotomy group versus 37.2 +/- 13.8 min in the sternotomy group (p < 0.01) but without di...Continue Reading

References

Sep 1, 1994·The American Journal of Cardiology·J T DavisD M Cohen
May 1, 1993·The Annals of Thoracic Surgery·T K Rosengart, J F Stark
Jul 1, 1996·The Annals of Thoracic Surgery·J M GrindaJ Y Neveux
Sep 1, 1996·The Annals of Thoracic Surgery·C Mavroudis
Sep 1, 1996·The Annals of Thoracic Surgery·C H ChangP P Tan
Jul 1, 1997·The Annals of Thoracic Surgery·R M UngerleiderW J Greeley
Apr 4, 1998·The Annals of Thoracic Surgery·M D Black, R M Freedom
Apr 4, 1998·The Annals of Thoracic Surgery·M Barbero-MarcialA D Jatene
May 16, 1998·The Annals of Thoracic Surgery·S R GundryL L Bailey
Sep 11, 1998·The American Journal of Cardiology·R FormigariL Ballerini
Oct 3, 1999·The Journal of Thoracic and Cardiovascular Surgery·F BergerP E Lange
Mar 29, 2000·The Annals of Thoracic Surgery·P C LaussenP J del Nido

❮ Previous
Next ❯

Citations

Jan 1, 2003·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Thomas TrepelsKathrin Horvath
Jun 19, 2013·General Thoracic and Cardiovascular Surgery·Hideto ShimpoHironori Tempaku
May 20, 2011·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Qiang ChenDao-Zhong Chen
May 24, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Ling YanJian-Jun Ge
Oct 1, 2011·Journal of Cardiothoracic Surgery·Hui ZhangDao-Zhong Chen
Jan 20, 2004·American Journal of Cardiovascular Drugs : Drugs, Devices, and Other Interventions·R G BennhagenL N Benson
Jul 7, 2011·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Gianfranco ButeraAlessandro Frigiola
Jan 1, 2007·Multimedia Manual of Cardiothoracic Surgery : MMCTS·Christian SchreiberRobert H Anderson
Aug 29, 2007·The Journal of Thoracic and Cardiovascular Surgery·Koray AkSelami Dogan
Apr 1, 2008·Congenital Heart Disease·Liat Gelernter-YanivAvraham Lorber
Dec 13, 2005·Journal of Interventional Cardiology·Anton MoritzGerhard Wimmer-Greinecker
Jul 26, 2005·The Annals of Thoracic Surgery·Makoto AndoToshio Kikuchi
Nov 25, 2004·Pediatric Clinics of North America·Jonathan J Rome, Jacqueline Kreutzer
Feb 16, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Adnan AbaciBurak Sezenoz
Dec 31, 2014·Heart, Lung & Circulation·Qiong ZhangJian-Jun Ge
May 18, 2004·Journal of the American College of Cardiology·Alessandro GiardiniFernando M Picchio
Feb 4, 2014·International Journal of Cardiology·Darren MylotteAriane J Marelli
Aug 28, 2009·The Journal of Thoracic and Cardiovascular Surgery·Nicola VistariniMario Viganò
Jan 15, 2016·JACC. Cardiovascular Interventions·Yinn Khurn OoiMatthew E Oster
Jan 19, 2008·Clinical Cardiology·Zhanjun GuanVince Nguyen
Apr 11, 2009·The International Journal of Cardiovascular Imaging·Lili DongHaozhu Chen
Jan 27, 2007·Journal of Cardiovascular Medicine·Carlo Pace Napoleone, Gaetano Gargiulo
Feb 6, 2017·Circulation Journal : Official Journal of the Japanese Circulation Society·Masaki KodairaKeiichi Fukuda
Jul 7, 2017·Pediatric Cardiology·Jessica N Sanchez, Michael D Seckeler
Jul 14, 2020·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Kai-Peng SunQiang Chen
Mar 13, 2020·Pediatric Cardiology·Konstantinos S MylonasDimitrios V Avgerinos
Dec 23, 2003·Journal of Cardiothoracic and Vascular Anesthesia·Mukul Chandra KapoorRobert J Sommer

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiology Journals

Discover the latest cardiology research in this collection of the top cardiology journals.