Minimal Access Surgery in Neonates with Cardiac Anomalies

Abstract

Objective

: To evaluate whether minimal access surgery (MAS) causes adverse effects in neonates with cardiac anomalies.

Methods

: A retrospective study of all neonates who had undergone an MAS procedure between 1993 and August 2002 was conducted. Patients with associated cardiac anomalies were selected, and their charts were studied by a pediatric cardiologist, anesthesiologist, and surgeon.

Results

: A total of 171 neonates underwent an MAS procedure. Twenty of the neonates had 22 associated cardiac anomalies. MAS was not contraindicated in any case. The intraoperative charts showed no complications or adverse effects of CO₂ insufflation. The postoperative courses were uncomplicated.

Conclusion

: Apart from duct-dependent lesions, most cardiac anomalies are compatible with safe extracardiac MAS in neonates and young infants.