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Ann Thorac Surg 2000;69:1273-1275
© 2000 The Society of Thoracic Surgeons

HOW TO DO IT

Minimally invasive resection of congenital subaortic stenosis

Kagami Miyaji, MDa, Robert L. Hannan, MDa, Jorge W. Ojito, CCPa, Jeffrey A. White, MSa, Redmond P. Burke, MDa

a Department of Cardiovascular Surgery, Miami Children’s Hospital, Miami, Florida, USA

Address reprint requests to Dr Burke, Division of Cardiovascular Surgery, Miami Children’s Hospital, 3200 SW 60 Ct, Suite 102, Miami, FL 33155-4069

Fifteen consecutive patients with membranous subaortic stenosis underwent resection by a minimal-access approach through a partial upper sternotomy using a cardioscope. There were no operative deaths and no postoperative complications. Twelve patients (80%) were extubated in the operating room. The mean hospital stay was 3.1 days, and 3 patients (20%) needed blood products. Our experience demonstrates that this modified approach is a safe and effective surgical option for resection of subaortic stenosis.




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