Cierre de comunicación interauricular mediante cirugía mínimamente invasiva en paciente con hipertensión pulmonar severa controlada

Abstract

Minimally invasive heart surgery is a proposed technique that is gaining ground as the preferred option of cardiothoracic surgeons due to its more significant benefit for patients undergoing this procedure, offering improvements such as shorter hospitalization time, quicker recovery, reduced cost for the patient, better pain control, less trauma, improved aesthetic outcomes, among others; without reducing the effectiveness of surgery and the treatment result, demonstrating the significance of this case by highlighting all the virtues of a surgical technique for which there are no publications about this procedure, thus laying the groundwork for research in the country's southern region.

Background:

A 28-year-old female patient from Loja presented to the cardiology department for dyspnea accompanied by syncope. Physical examination revealed a meso-systolic heart murmur at the left sternal border, prompting complementary studies (echocardiogram and transesophageal echocardiogram). The evaluation led to diagnosing an atrial septal defect ostium secundum of 47 mm in diameter, with no anterior, posterior, or inferior borders.

Conclusions:

In conclusion, minimally invasive surgical approaches should be performed more frequently as a therapeutic option to replace sternotomy or as an alternative to the percutaneous options in young and adult patients, considering the aesthetic advantages for the patient and the decrease in economic cost by reducing days of hospitalization or care in patients without complications. It is important to note that using this technique does not increase the risks of complications or death in patients. The disadvantages of using this technique would include the ability of the surgical professional to reduce the chances of surgical complications or risks, which may affect younger patients in their breast development, particularly in female patients.