Neonatal right mini thoracotomy for repair of critical pulmonary stenosis

Asian Cardiovasc Thorac Ann. 2022 Jun;30(5):593-595. doi: 10.1177/02184923211029391. Epub 2021 Jul 5.

Abstract

Over the last few decades, due to evolving surgical techniques and medical management, there has been a significant decrease in the rate of mortality and complications for neonates born with critical pulmonary valve stenosis. Median sternotomy is the standard approach; however, this longitudinal midline incision is invasive and leaves a significant scar. A right mini thoracotomy approach to this surgical repair decreases recovery time and the chance of possible future psychological distress from a visible median sternotomy scar. This is the first article to describe a right mini thoracotomy approach for critical pulmonary stenosis during the neonatal period.

Keywords: Right mini thoracotomy; critical pulmonary stenosis; neonate; pulmonary valve commissurotomy.

MeSH terms

  • Aortic Valve / surgery
  • Cicatrix / surgery
  • Heart Valve Prosthesis Implantation* / methods
  • Humans
  • Infant, Newborn
  • Minimally Invasive Surgical Procedures
  • Pulmonary Valve Stenosis* / diagnostic imaging
  • Pulmonary Valve Stenosis* / etiology
  • Pulmonary Valve Stenosis* / surgery
  • Retrospective Studies
  • Sternotomy / adverse effects
  • Thoracotomy / adverse effects
  • Thoracotomy / methods
  • Treatment Outcome