Skip to content
DraconiticResearch
Search Sources API
210,049 studies31 sourcesUpdated 23 min ago
Peer-reviewedCC BY 4.0Brazilian Journal of Cardiovascular Surgery

Feasibility and Early Outcomes of Intraoperative Extubation in Pediatric Atrial and Ventricular Septal Defect Repair via Axillary Thoracotomy

  • Serkan Seçici1
  • Serkan Terkanlıoglu2
  1. 1Department of Cardiovascular Surgery, Manisa Celal Bayar University, Manisa, Turkey
  2. 2Department of Anesthesiology, Medicana Health Group, Bursa, Turkey
Read full textDOICite

Abstract

Introduction: This retrospective study evaluated the feasibility, safety, and early recovery outcomes of intraoperative extubation combined with minimally invasive axillary thoracotomy for atrial septal defect (ASD) and ventricular septal defect (VSD) repair in pediatric patients.

Methods: Sixty-one consecutive pediatric patients who underwent ASD (n = 43) or VSD (n = 18) repair via axillary thoracotomy between March 2017 and December 2023 were included. Patients were categorized by extubation timing into intraoperative (operating room [OR] group) and postoperative (intensive care unit [ICU] group). Baseline characteristics, operative variables, and postoperative outcomes were compared.

Results: In the ASD cohort, patients extubated intraoperatively had a shorter hospital stay compared with those extubated in the ICU (2.78 ± 1.24 vs. 3.60 ± 0.99 days, P < 0.001). In the VSD cohort, the OR group included younger and lower-weight patients yet demonstrated a significantly shorter hospital stay (3.56 ± 0.73 vs. 5.78 ± 3.35 days, P = 0.013). Across the entire cohort, on-table extubation was associated with reduced hospital stay (P < 0.001), with no increase in reintubation or major complications.

Conclusions: Intraoperative extubation following axillary thoracotomy for ASD and VSD repair in pediatric patients appears safe and feasible and was associated with a significantly shorter hospital stay, even in lower-weight patients. These findings suggest that intraoperative extubation may be considered as part of enhanced recovery strategies in pediatric congenital heart surgery.

Related

  1. Left thoracotomy for redo left ventricular pseudoaneurysm repair after ventricular septal rupture surgery
    JTCVS techniquesPeer-reviewedCC BY-NC-NDFull textGeneral medicineEurope PMC
  2. Intraoperative intercostal nerve cryoablation vs. patient-controlled analgesia after thoracotomy: a single-center retrospective cohort study demonstrating comparable early pain and opioid use.
    Ahed Al-Edwan, Riad Abdel Jalil, Moh'd Adnan Yousef +8
    Journal of cardiothoracic surgeryPeer-reviewedCC BY-NC-NDFull textSurgery & anaesthesiaEurope PMCDOAJ
  3. Case Report: EAdi-guided ventilatory management leads to successful extubation in a pediatric myasthenic disorder.
    Marjet J A M Braamskamp, Alette A Koopman, Martin C J Kneyber
    Frontiers in pediatricsPeer-reviewedCC BYFull textGeneral medicineEurope PMCPMC
  4. Risk factors for post-extubation stridor in pediatric cardiac intensive care unit: a single-center retrospective study
    Kwannapas Saengsin, Pakpoom Wongyikul, Phichayut Phinyo +8
    BMC PediatricsPeer-reviewedCC BY-NC-ND 4.0Full textGeneral medicinePMC
  5. Age-related differences in extubation time following propofol-based target-controlled infusion in pediatric medium-duration surgery: A prospective cohort study
    Issada Jindawatthana, Patcharee Sriswasdi, Wiriya Maisat +2
    Scientific ReportsPeer-reviewedCC BYFull textSurgery & anaesthesiaDOAJ

Cite

BibTeXRIS
BibTeX
@article{secici2026feasibility,
  title = {{Feasibility and Early Outcomes of Intraoperative Extubation in Pediatric Atrial and Ventricular Septal Defect Repair via Axillary Thoracotomy}},
  author = {Serkan Seçici and Serkan Terkanlıoglu},
  journal = {Brazilian Journal of Cardiovascular Surgery},
  year = {2026},
  month = sep,
  doi = {10.21470/1678-9741-2025-0392},
  url = {https://doi.org/10.21470/1678-9741-2025-0392},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Feasibility and Early Outcomes of Intraoperative Extubation in Pediatric Atrial and Ventricular Septal Defect Repair via Axillary Thoracotomy
AU  - Serkan Seçici
AU  - Serkan Terkanlıoglu
PY  - 2026
DA  - 2026/09/08
JO  - Brazilian Journal of Cardiovascular Surgery
DO  - 10.21470/1678-9741-2025-0392
UR  - https://doi.org/10.21470/1678-9741-2025-0392
AB  - Introduction: This retrospective study evaluated the feasibility, safety, and early recovery outcomes of intraoperative extubation combined with minimally invasive axillary thoracotomy for atrial septal defect (ASD) and ventricular septal defect (VSD) repair in pediatric patients.  Methods: Sixty-one consecutive pediatric patients who underwent ASD (n = 43) or VSD (n = 18) repair via axillary thoracotomy between March 2017 and December 2023 were included. Patients were categorized by extubation timing into intraoperative (operating room [OR] group) and postoperative (intensive care unit [ICU] group). Baseline characteristics, operative variables, and postoperative outcomes were compared.  Results: In the ASD cohort, patients extubated intraoperatively had a shorter hospital stay compared with those extubated in the ICU (2.78 ± 1.24 vs. 3.60 ± 0.99 days, P < 0.001). In the VSD cohort, the OR group included younger and lower-weight patients yet demonstrated a significantly shorter hospital stay (3.56 ± 0.73 vs. 5.78 ± 3.35 days, P = 0.013). Across the entire cohort, on-table extubation was associated with reduced hospital stay (P < 0.001), with no increase in reintubation or major complications.  Conclusions: Intraoperative extubation following axillary thoracotomy for ASD and VSD repair in pediatric patients appears safe and feasible and was associated with a significantly shorter hospital stay, even in lower-weight patients. These findings suggest that intraoperative extubation may be considered as part of enhanced recovery strategies in pediatric congenital heart surgery.
SN  - 0102-7638
SN  - 1678-9741
ER  -