Minimally Invasive Surgery for Septal Defects Inchild: Literature Review

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Abstract

Nowadays a minimally invasive approach is a rapidly evolving strategy in particular in the field of congenital heart surgery. The main advantage of minimally invasive approaches is less trauma to a patient which positively effects early postoperative period and recovery after surgery. Own to continuous technological progress and growing experience minimally invasive approaches become widely used in cardiac surgery as well as in treatments of congenital heart defects. This review highlights the main problems and their potential solutions in using minimally invasive approaches in surgical treatment of atrial septal defect, ventricular septal defect, partial atrioventricular canal, partial anomalous pulmonary venous drainage. We describe specific considerations of cardiopulmonary bypass, operative techniques and results of minimally invasive approanes.

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About the authors

Konstantin V. Shatalov

A.N. Bakulev National Medical Research Center of Cardiovascular Surgery

Email: shatalovk@mail.ru
ORCID iD: 0000-0003-1120-9363
SPIN-code: 4175-8013

MD, PhD, Professor

Russian Federation, Moscow

Irina V. Arnautova

A.N. Bakulev National Medical Research Center of Cardiovascular Surgery

Author for correspondence.
Email: arnautova74@mail.ru
ORCID iD: 0000-0002-3204-3561
SPIN-code: 8494-5070

MD, PhD

Russian Federation, Moscow

Magomed A. Abdurazakov

A.N. Bakulev National Medical Research Center of Cardiovascular Surgery

Email: walk_man7@mail.ru
ORCID iD: 0000-0001-8811-4931
SPIN-code: 8534-3197

MD, PhD

Russian Federation, Moscow

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Supplementary files

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1. Figure 1 Mini-thoracotomy on the right

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2. Figure 2. Plastic surgery of an atrial septal defect with a synthetic patch using access from a right-sided mini-thoracotomy (intraoperative photo): ASD, atrial septal defect; SVC - superior vena cava; IVC - inferior vena cava

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3. Figure 3. Thoracoscopic repair of a ventricular septal defect. Port 1 is used to place tweezers, clamps and other instruments of the left hand, Port 2 is used for a needle holder, Port 3 is used for an endoscope, aortic clamp, cardioplegic cannula placement, and removal of purse-string sutures (intraoperative photo [30])

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4. Figure 4. Thoracoscopic repair of a ventricular septal defect. Places of installation of ports after suturing. The length of the incisions is no more than 2–3 cm [30]

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