Minimally Invasive Surgery for Coronary-Pulmonary Artery Fistula Via Parasternal Minithoracotomy

Heart Lung Circ. 2019 Apr;28(4):e79-e82. doi: 10.1016/j.hlc.2018.04.307. Epub 2018 Sep 29.

Abstract

Epicardial surgical repair has been proven to be effective for patients with coronary- pulmonary artery fistula (CPAF). However, most of the surgery has been performed through a median sternotomy under cardiopulmonary bypass. In this report, we describe a novel technique of performing minimally invasive surgery for CPAF patients without extracorporeal circulation via a parasternal minithoracotomy. This technique has proved to be safe and effective and may be worthy of use for patients with CPAF.

Keywords: Congenital heart disease; Minimally invasive cardiac surgery.

Publication types

  • Technical Report

MeSH terms

  • Arterio-Arterial Fistula / diagnosis
  • Arterio-Arterial Fistula / surgery*
  • Coronary Angiography
  • Coronary Vessels / diagnostic imaging
  • Coronary Vessels / surgery*
  • Echocardiography, Transesophageal
  • Humans
  • Minimally Invasive Surgical Procedures / methods*
  • Pulmonary Artery / diagnostic imaging
  • Pulmonary Artery / surgery*
  • Sternum / surgery*
  • Thoracotomy / methods*
  • Tomography, X-Ray Computed
  • Vascular Surgical Procedures / methods*