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Totally Thoracoscopic Surgical Closure of Atrial Septal Defect in Children
Feng Wang, Zhaoyun Cheng, Deguang Feng.
Institute of Cardiovascular Surgery, Henan Provincial People Hospital, Henan, China.
Background. Totally thoracoscopic cardiac surgery is an alternative to traditional cardiac surgery in adults, and in few cases, in children. This study assesses totally thoracoscopic cardiac surgery and its advantages for application to children with low body weight.
Methods. From March 2009 to October 2010, 33 patients, whose mean age and weight were 5.8 ± 2.1 years (4.5-8 years) and 15.0 ± 4.65 kg (13.5-22 kg), respectively,underwent totally thoracoscopic atrial septal defect (ASD) closure. Three incisions 1.0-2.5 cm in length were made on the chest wall. Direct sutures were made in 25 patients, whereas Dacron patches were performed in 8 patients. Mean follow-up was 6 months (0-24 months).
Results. Cardiopulmonary bypass time was 56-126 min, and the aortic cross-clamp time was 36-65 min. A total of 33 cases were classified New York Heart Association Class I . No patient required further operation.
Conclusions. Totally thoracoscopic surgical ASD closure in low-body weight children is feasible, minimally invasive, safe, and has good cosmesis.
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