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International Society For Minimally Invasive Cardiothoracic Surgery

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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 cannulasite) 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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