Минимально инвазивная хирургия врожденных пороков сердца с доступом к правой передней миниторакотомии: одноцентровый анализ 460 пациентов
Seitkhan Joshibayev, Prof., Ikromzhon Mukhamedov, Dr., Jalil Sheishenov, Dr., Azamat Kenbayev, Dr., Uliya Ukolova, Dr., Zafar Rozbayev, Dr., Gali Iskakbayev, Dr., Almas Alibekov, Dr..
Research-Clinical Center for Cardiac Surgery and Transplantology, Taraz, Kazakhstan.
BACKGROUND:A minimally invasive approach without peripheral cannulation has been used as an alternative to median sternotomy to correct simple septal heart defects with excellent outcomes and good cosmetic results
METHODS:From January 2012 to December 2022, 460 patients underwent surgical correction of septal heart defects through right anterior minithoracotomy with central cannulation of cardiopulmonary bypass. The mean age was 7.2 ± 3.42 years and the average weight was 13,5±4,5 kg. Atrial septal defects (ASD) amounted to 270 and ventricular septal defects (VSD) - 178, partial defects of the atrioventricular septum - 12
RESULTS:There were no hospital mortality or serious complications. Correction of an ASD was performed on a beating heart, the mean CPB time for ASD repair was 42 ± 22 minutes, the mean CPB time for VSD was 54 ± 18 minutes, and the mean time aortic cross clamp time was 32 ± 12 minutes. Average incision length - 4.5 cm. The cosmetic outcome was excellent in all patients. There were two conversions to transverse sternotomy. No neurological events were reported. Follow-up transthoracic echocardiography before discharge revealed a residual shunt in 4 patients with VSD
CONCLUSIONS:We believe that right anterior minithoracotomy without peripheral cannulation for the correction of septal defects of the heart is a safe and feasible procedure that provides a high level of satisfaction with the cosmetic effect
Back to 2023 ePosters