Emile Bacha, MD, Publishes Review of Minimally Invasive Pediatric Heart Surgery in Nature Reviews Cardiology

by Columbia Surgery on January 20, 2014

Emile Bacha, MD

Emile Bacha, MD

Nature Reviews Cardiology, a prominent peer-reviewed journal, published a review of minimally invasive pediatric heart surgery by Emile Bacha, MD, Chief of the Division of Cardiac, Thoracic and Vascular Surgery at NewYork-Presbyterian/Columbia University Medical Center, and David Kalfa, MD, pediatric cardiothoracic surgeon at Morgan Stanley Children’s Hospital of NewYork-Presbyterian.

In this review, intended for general practitioners and members of multidisciplinary teams caring for children who require heart surgery, Drs. Bacha and Kalfa provide an overview of minimally invasive techniques as they apply to sternal-sparing incisions, video-assisted thoracoscopic surgery (VATS), robotically assisted surgery (RAS), hybrid procedures, minimization of the effects of cardiopulmonary bypass, and other specific ‘trauma-sparing’ strategies.

The overarching goal is to teach practitioners how to “treat more while hurting less,” according to the authors.

Related Link:

Nature Reviews Cardiology: Minimally invasive paediatric cardiac surgery

{ 2 comments… read them below or add one }

Stephanie January 20, 2014 at 3:51 pm

I’m a patient here at the congenital heart department and underwent OHS in infancy to correct TOF by Dr. Q. I understand the goal at NYP/Columbia University is to perform heart surgery with minimally invasive approaches or better yet, to perform surgery using a transcather approach oppose to OHS. I had been in previous contact with Dr. Bacha, back in February, regarding replacement of the pulmonary valve using the transcather approach for patients who under went Tetralogy of Fallot in infancy. After reading Dr. Bacha’s response and after talking to my cardiologist, I found out it’s a lot more complicated and for me to be considered a candidate (due to the initial repair) more testing has to be done on my end. After reading this new study, I was wondering is robotically assisted surgery less complicated and can it be used on patients who need their pulmonary valve replaced following Tetralogy of Fallot repair? I don’t think I read anything about replacing the PV in the study so that’s why I’m asking.

Thank you,
Stephanie A.

Columbia Surgery January 21, 2014 at 2:36 pm

Hi Stephanie,

I have forwarded your question to Dr. Emile Bacha, Chief of the Division of Cardiac, Thoracic and Vascular Surgery at NewYork-Presbyterian/Columbia University Medical Center, and he replied with the following:

“A tetralogy of fallot patient will need to undergo open heart surgery for pulmonary valve replacement. Unfortunately, this is one area where minimally invasive or robotically assisted surgery does not have a role yet.”

I hope this helps answer your question. Please let me know if you have any further.

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