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ISMICS 2025 Annual Meeting
28 - 31 May, 2025 | Istanbul, Turkey
P52
A Study To Evaluate The Outcomes After Minimally Invasive Cardiac Surgery In Adult Patients With TOF Physiology
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Pediatric
A STUDY TO EVALUATE THE OUTCOMES AFTER MINIMALLY INVASIVE CARDIAC SURGERY IN ADULT PATIENTS WITH TOF PHYSIOLOGY
Dr. ABHINAV GUPTA, Dr. MAYANK YADAV, Dr. V. DEVAGOUROU- ALL INDIA INSTITUTE OF MEDICAL SCIENCES, NEW DELHI, INDIA
BACKGROUND
ØDespite the complexity of cardiac surgery, minimally invasive cardiac surgery (MICS) has been applied to coronary artery bypass surgery, valve repairs and replacement and even for congenital heart defects (CHD).
ØLiterature review of MICS in CHD showed a spectrum of septal defects and valve repairs but only few cases of TOF and isolated case reports of adult patients with TOF.
ØThis study was designed to fill this lacuna and to evaluate outcomes after MICS in these patients.
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METHODS
ØTOF patients ≥ 14 years of age were randomly divided into 2 groups with 25 patients per group, one undergoing surgery with full median sternotomy and the second with minimally invasive surgery via upper mid sternotomy.
ØIntraoperative details like incision length, aortic cross clamp time, cardiopulmonary bypass time and postoperative details like duration of mechanical ventilation, ICU stay, postoperative complications, total hospital stay and surgical site complications were compared.
CONCLUSION
ØThis study provides an insight about the application of MICS in patients with TOF requiring multiple intracardiac repairs.
Ø
Although technically challenging, we found TOF repair via upper mid sternotomy to be safe and feasible with an excellent cosmetic outcome