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Abstract
Congenital heart disease surgery in newborns has seen significant advancements in recent decades, driven by the development of minimally invasive techniques. These approaches aim to reduce surgical impact, improve postoperative recovery, and increase patient survival rates and quality of life.
Among the most commonly used techniques are catheter-based surgeries and video-assisted thoracoscopic interventions, which enable corrections of complex cardiac anomalies without requiring large thoracic incisions. These procedures minimize pain, lower the risk of infections, and shorten hospital stays.
Clinical studies and systematic reviews indicate that minimally invasive cardiac surgery provides outcomes comparable to conventional techniques in terms of effectiveness, with additional benefits related to faster recovery and reduced need for prolonged intensive care. Hybrid techniques, combining traditional surgical interventions and minimally invasive procedures, have also shown promising potential in more complex cases.
Another important advancement is the use of state-of-the-art imaging technologies such as magnetic resonance imaging and three-dimensional echocardiography, allowing for detailed surgical planning and greater precision during procedures. The use of devices such as biocompatible valves and stents has also contributed to improved surgical outcomes and reduced the need for reinterventions.
Moreover, the development of specialized multidisciplinary teams in pediatric cardiology has been crucial to the success of surgeries. Collaboration among surgeons, cardiologists, anesthesiologists, and nursing teams ensures more effective and personalized care tailored to each patient’s specific needs.
In summary, advances in minimally invasive techniques for the treatment of congenital heart diseases in newborns represent a significant evolution in cardiovascular medicine. The combination of new technologies, innovative surgical approaches, and specialized teams has contributed to better clinical outcomes and improved quality of life for these patients from their earliest days.
References
AKYUZ, M. et al. Limited upper mini-sternotomy approach for closed heart surgery in newborns and infants. General Thoracic and Cardiovascular Surgery, v. 69, n. 10, p. 1527-1531, 2021.
BARAKAT, L. et al. Successful surgical repair of Taussig Bing anomaly with pulmonary artery and pulmonary valve stenosis in a neonate patient: A case report. International Journal of Surgery Case Reports, v. 125, p. 110462, 2024.
MIDANY, A. A. H.; DOGHISH, A. A. Ministernotomy approach for modified Blalock-Taussig shunts in neonates: a feasibility study. The Cardiothoracic Surgeon, v. 27, p. 1-5, 2019.
SCHIEFER, J. et al. Performing central venous catheters in neonates and small infants undergoing cardiac surgery using a wireless transducer for ultrasound guidance: a prospective, observational pilot study. BMC Pediatrics, v. 21, p. 341, 2021.
SELCUK, A. et al. Ligation of patent ductus arteriosus through anterior thoracotomy in preterm infants: a 10-year experience. Cardiology in the Young, p. 1-7, 2021.
SOYNOV, I. A. et al. Biventricular repair in low-weight patient with interrupted aortic arch and aortic atresia. The Egyptian Heart Journal, v. 76, p. 84, 2024.
TAŞAR, M. et al. Minimally invasive permanent pacemaker implantation immediately after birth: from delivery room to heart surgery. Cardiology in the Young, p. 1-3, 2021.
ZHANG, H. et al. Clinical characteristics and outcomes of patients who underwent neonatal cardiac surgery: ten years of experience in a tertiary surgery center. European Journal of Medical Research, v. 29, p. 144, 2024.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 Harisson Breno Souza Rosa, Nicoly Trevizan Pereira , Beatriz de Camargo Mazolini, Isadora de Rocco Boese, Bruna Jacobus Boos , Sofia Ratchitzki Teixeira, Pietra Turchi Piassi , Vitória Turchi Piassi
