Minimally Invasive Cardiac Surgery For Congenital Heart Diseases; The Experience Single Institute
Le Ngoc Thanh, Do Anh Tien, Le Ngoc Minh, Nguyen Tran Thuy, Nguyen Cong Huu.
Cardiovascular center - Ehospital. Hanoi. Vietnam, Ha noi, Viet Nam.
Objectives: To evaluate the performance and safety of minimally invasive cardiac surgery for congenital heart disease.Methods:Minimally invasive cardiac surgery (MICS) for congenital heart disease (CHD) involve surgery through: lower haft sternotomy, right anterolateral thoracotomy, video assisted endocoscopy and totally endoscopy for simple CHDs: Atrial septal defect (ASD); ventricular septal defect; partial atrioventricular septal defect (pAVSD); cor triatriatum. From 5/2013 to 7/2019, there were 328 patients with CHDs had MICS including: 274 patients with ASD (54 pts via right right anterolateral thoracotomy, 62 pts video assisted endocoscopy and 161 pts totally endoscopy); 47 patients with VSD (3 pts vialower haft sternotomy, 34 pts via right right anterolateral thoracotomy and 10 pts totally endoscopy); 28 patients with pAVSD (16 pts video assisted endocoscopy and 12 pts totally endoscopy); 6 patients with Cor triatriatum (3 pts video assisted endocoscopy and 3 pts totally endoscopy). The age was 2 month olds to 65 year olds and the body weght was 36,12 18,23 kg (from 3,5 kg to 62 kg ).Results: All procedures were successful with no postoperative mortality. Cardiopulmonary bypass time and Aortic clamping time were 96,4± 17,7mins and 72± 24,2 mins. All patients with ASD who were operated with beating heart.There were 2 patient with complication: right femoral artery stenosis (arterial cannula’site) post operation 1 week who had to reconstruction. No residual shunt on echo cardiography. Patients hospitalized for 5.8 days and could resume normal activitive after 1 week. Conclusions:Minimally invasive cardiac surgery for congenital heart diseasesis the best outcome and feasible with safe, a small surgical scar and hight aesthetics.
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