Pediatric Cardiology and Cardiac Surgery
Vol.27 No.6 2011 (257-261)

Kagami Miyaji

Department of Cardiovascular Surgery, Kitasato University School of Medicine, Kanagawa, Japnan


Minimally invasive cardiac surgery has been performed for patients with congenital heart diseases, such as patent ductus arteriosus (PDA), atrial septal defect (ASD), and ventricular septal defect (VSD). Video-assisted thoracoscopic interruption of PDA (VATSPDA) is effective for infants and neonates, especially for low birth weight babies. On the other hand, catheter intervention using devices have been widely used for ASD and PDA. However, serious complications were reported in some papers. Recently, the device occlusion has been applied to VSD. In percutaneous approach, there have been serious complications such as aortic regurgitation or complete atrioventricular block. The transatrial approach for ASD and perventricular approach for VSD are now advocated to avoid these complications. These approaches are called “Hybrid approach”, which is achieved with collaboration between catherter interventionists and cardiac surgeons.