Borrowing from Adult Cardiac Surgeons-Bringing Congenital Heart Surgery Up to Speed in the Minimally Invasive Era.
Abstract
The majority of congenital and adult cardiac surgery is performed through a median
sternotomy. For surgeons, this incision provides excellent exposure; however, for
patients, a median sternotomy confers a poorer cosmetic outcome and the possibility
of postoperative respiratory dysfunction, chronic pain, and deep sternal wound infections.
Despite the advances in adult cardiac surgery, the use of minimally invasive techniques
in pediatric patients is largely limited to small case series and less complex repairs.
In this article, we review the risks, benefits, and limitations of the minimally invasive
congenital cardiac approaches being performed today. The interest in these approaches
continues to grow as more data supporting reduced morbidity, decreased length of stay,
and faster recovery are published. In the future, as the technology and surgical familiarity
improve, these alternative approaches will become more common, and may someday become
the standard of care.
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Journal articlePermalink
https://hdl.handle.net/10161/20655Published Version (Please cite this version)
10.1177/1556984520911020Publication Info
Alsarraj, Mohammed K; Nellis, Joseph R; Vekstein, Andrew M; Andersen, Nicholas D;
& Turek, Joseph W (2020). Borrowing from Adult Cardiac Surgeons-Bringing Congenital Heart Surgery Up to Speed
in the Minimally Invasive Era. Innovations (Philadelphia, Pa.), 15(2). pp. 101-105. 10.1177/1556984520911020. Retrieved from https://hdl.handle.net/10161/20655.This is constructed from limited available data and may be imprecise. To cite this
article, please review & use the official citation provided by the journal.
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Show full item recordScholars@Duke
Joseph Nellis
House Staff
Joseph W Turek
Associate Professor of Surgery
Joseph W. Turek, MD, PhD, MBA is an academic pediatric cardiac surgeon at Duke University
in Durham, North Carolina. Since 2017, Dr. Turek has served as chief of pediatric
cardiac surgery and executive co-director of Duke Children’s Pediatric & Congenital
Heart Center. Prior to Duke, he served in a similar leadership role at the University
of Iowa Stead Family Children’s Hospital from 2012-2017.
Dr. Turek attended the Illinois Mathematics and Science Academy for second
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