Simultaneous minimally invasive technique for congenital heart disease and pectus excavatum
10.3760/cma.j.issn.1001-4497.2011.11.006
- VernacularTitle:微创技术同期治疗漏斗胸合并先天性心脏病
- Author:
Jianhua LI
;
Weize XU
;
Zewei ZHANG
;
Zili CHEN
;
Jiangen YU
;
Zhuo SHI
;
Liang HANG
- Publication Type:Journal Article
- Keywords:
Heart defects,Congenital;
Cardiac surgical;
Funnel chest Miniwally invasive surgical procedures;
Thoracoplasty;
Nuss precedue
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2011;27(11):654-655
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safty and feasibility of simultaneous minimally invasive technique for congenital heart disease (CHD) and pectus excavatum (PE).Methods From July 2006 to June 2011,6 children with PE associated with CHD were treated by simultaneous minimally invasive technique.They were 4 boys and 2 girls,aged from 4 years to 6 years 5 months ( average 5 years and 4 month),.The body weight were from 16 kg to 20 kg [ average ( 18.00 ± 1.79kg ].CT Hailer index were 3.9 - 5.0 ( average 4.35 ± 0.43 ).4 patients with ventricular septal defect (VSD) were treated by minimally invasive closure device,including 3 membranous VSD and 1 subaortic VSD.The defect diameter was 4 - 5 mm.2 cases with atrial septal defect (ASD) were treated using the same technique.the diameter of ASD was 12 - 16 mm.After minimally invasive heart surgery,Nuss operation was carried out in all 6 patients for their PE.Results All operations were successful and patients were extubated 5 - 11 h after operation [ mean ( 8.17 ± 2.04) h ].The pericardial mediastinal drainage was removed at 48 h postoperatively.There were no operative mortality and severe postoperative complications.1 patient had delayed wound healing and was successfully discharged.The plate was removed in 3 cases,and they all had satisfactory outcomes.Conclusion Simultaneous minimally invasive technique is a safe and effeictive mothod for treating pectus excavatum and congenital heart disease.
