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Thoracoscopic management of iatrogenic cardiac perforations
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  • T. Langenaeken,
  • M. Van den Berg,
  • A. Kaya,
  • A. Yilmaz
T. Langenaeken
Jessa Ziekenhuis vwz

Corresponding Author:[email protected]

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M. Van den Berg
Jessa Ziekenhuis vwz
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A. Kaya
Jessa Ziekenhuis vwz
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A. Yilmaz
Jessa Ziekenhuis vwz
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Aims: Iatrogenic cardiac perforation is an uncommon but potentially fatal complication of invasive cardiac procedures. When non-surgical management fails, urgent cardiac surgery is required. Standard surgical approach is usually through full sternotomy. However, we propose a less invasive and equally effective technique with video-assisted thoracoscopic surgery (VATS).  Methods: This single-center retrospective study in a tertiary hospital identified all patients requiring surgical intervention due to iatrogenic cardiac perforation over a period of 5 years. Patients were grouped by surgical approach, being either sternotomy or VATS. Primary endpoints were length of ICU stay, hospital stay, 30-day mortality and all round mortality. Results: 25 patients were identified: 11 in the sternotomy-group and 14 in the VATS-group. Preoperative baseline characteristics were equal. Significant difference was found for 30-day mortality (p < 0.05). There was no difference for the other endpoints. Conclusions: Video-assisted thoracoscopic surgery is a promising alternative to standard sternotomy for iatrogenic cardiac perforations after invasive cardiac procedures.
10 Feb 2022Submitted to Journal of Cardiovascular Electrophysiology
14 Feb 2022Submission Checks Completed
14 Feb 2022Assigned to Editor
14 Feb 2022Reviewer(s) Assigned
09 Mar 2022Review(s) Completed, Editorial Evaluation Pending
10 Mar 2022Editorial Decision: Revise Minor
21 Apr 20221st Revision Received
27 Apr 2022Submission Checks Completed
27 Apr 2022Assigned to Editor
27 Apr 2022Reviewer(s) Assigned
25 May 2022Review(s) Completed, Editorial Evaluation Pending
26 May 2022Editorial Decision: Accept
Jul 2022Published in Journal of Cardiovascular Electrophysiology volume 33 issue 7 on pages 1366-1370. 10.1111/jce.15572