Totally Endoscopic Ventricular Septal Defect Closed: How To Do It?
Le Ngoc Thanh, Do Anh Tien, Nguyen Tran Thuy, Le Ngoc Minh, Nguyen Cong Huu.
Cardiovascular center - Ehospital. Hanoi. Vietnam, Ha noi, Viet Nam.
Objectives: To describe how to proceed with totally endoscopic closure of ventricular septal defect (VSD) without robotic assistance.Methods:Totally endoscopic VSD closure was performed in 10 patiens (4 childrens and 6 adults). The age was 25,59 ±11,99year olds ( from 9 to 46), and the body weght was 43,86 ±11,37 kg (from 21 to 57). The All patients were diagnosed with perimembranousVSD in which 5 patients had right ventricular outflow tract stenosis. We used 3 trocarts 5mm and 1 trocart 12mm in the right chest. Using peripheral cannulation for cardiopulmonary bypass, superior vena caval occlusion, Chitwood aortic clamp, right atriotomy and closing VSD by totally endoscopy without a robotically assisted surgical systemResults:No postoperative complications and deaths. Mean ± SD cardiopulmonary bypass time and Aortic clamping time were 127± 17,7mins and 70± 14,2 mins. The mean mechanical ventilation time was 2± 0,3hours. Patients hospitalized for 5.4 days and could resume normal activitíe after 1 week. Conclusions:Totally endoscopic closure of ventricular septal defect without robotic assistance is feasible with safe, a small surgical scar and hight aesthetics
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