Background: Minimally invasive procedures lead to less scarring resulting in better
cosmetic outcomes. This
has resulted in increased patient interest in such procedures and this has
motivated surgeons to pursue newer and improved techniques for Minimally
invasive cardiac surgery (MICS). Obviously, with the advent of MICS the techniques to achieve
it also needed to be changed and upgraded which includes access for cannulation
for cardiopulmonary bypass(CPB).
Right internal jugular vein percutaneouscannulation, together with the directsurgicalcannulationof femoral vessels with
minithoracotomy/ministernotomy proves to be a safe and effective tool in
patients with body weight of above 20 kg for minimally access cardiac surgery.
We use this technique for Atrial septal defect (ASD)closure, aortic valve replacement (AVR), redo
Tricuspid valve replacement (TVR) and mitral valve replacement (MVR). Here, we
describe our experience with minimally invasive approach using total peripheral
cannulationand an
anterior mini-thoracotomy (6cmor less)incision for ASD closure,
AVR, TVR and MVR. Methods: The preoperative variables, intraoperative
data and postoperative outcomes of patients undergoing minimally invasive ASD
closure, AVR, TVR and MVR with total peripheral cannulation
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