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Borrowing from Adult Cardiac Surgeons-Bringing Congenital Heart Surgery Up to Speed in the Minimally Invasive Era.

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Date
2020-03
Authors
Alsarraj, Mohammed K
Nellis, Joseph R
Vekstein, Andrew M
Andersen, Nicholas D
Turek, Joseph W
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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.
Type
Journal article
Subject
congenital heart defects
minimally invasive cardiac surgery
pediatrics
Permalink
https://hdl.handle.net/10161/20655
Published Version (Please cite this version)
10.1177/1556984520911020
Publication 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.
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Scholars@Duke

Nellis

Joseph Nellis

House Staff
Turek

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
Alphabetical list of authors with Scholars@Duke profiles.
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