RIGHT AND LEFT ANTEROLATERAL MINITHORACOTOMY FOR REPAIR OF CONGENITAL VENTRICULAR SEPTAL DEFECT IN VIETNAM
Huy Q. Dang, Huu C. Nguyen, Thanh N. Le.
Cardiovascular center, E hospital, Hanoi, Viet Nam.
OBJECTIVE: Much more concern is recently paid to the cosmetic when simple congenital heart disease (CHD) is repaired.
METHODS: From June to December 2015, 12 patients (F/M: 5/7; aged from 3 to 50 years) underwent repair of congenital ventricular septal defects (VSDs) using right (n=6) and left (n=6) anterolateral minithoracotomy. VSDs were of the perimembranous (n=6) and subarterial (n=6) type. Peripheral Cardiopulmonary Bypass (CPB) was set (SVC and IVC were drained through internal jugular and femoral veins; arterial cannulae were set up through femoral artery directly in 3 and indirectly in 9).
RESULTS: We present perioperative data and early result of these patients. Closure of VSDs were succesfully performed in all. Mean CPB time was 162.5 ± 58.9 mins and mean Aorta cross-clamp (ACC) time was 116.6 ± 49.0 mins. Intubation time: 3.8 ± 0.6 hours, ICU stay time: 1.6 ± 0.5 days and postoperative hospital stay time: 9.3 ± 2.0 days. There were no complication related with surgery and peripheral cannulation. All the patients and their family were satisfied with cosmetic result of the scars.
CONCLUSIONS: This method was safe and effective especially for girls and women with VSDs.
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