Early-term results of minithoracotomy incision for the repair of congenital cardiac defects
10.3760/cma.j.issn.1001-4497.2013.05.006
- VernacularTitle:胸部小切口微创手术治疗先天性心脏病的早期结果
- Author:
Feng GAO
;
Bin YOU
;
Ping LI
;
Yi XU
;
Lili XU
;
Shuo LIU
;
Guang LI
- Publication Type:Journal Article
- Keywords:
Heart defects,congenital;
Cardiac surgical procedures;
Surgical procedures,minimally invasive
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2013;(5):276-278
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluated the early-term results of the right or left anterolateral minithoracotomy used for the repair of various congenital heart defects.Methods All the patients with congenital heart defects who were operated with this incision between April 2010 and December 2012 were reviewed.There were 63 patients (41 females,22 males) underwent openheart surgery through right or left anterolateral minithoracotomy.Ages ranged from 12 to 69 years,mean (30.63 ± 11.74) years.Corrected defects included atrial septal defect(ASD) closure in 38,closure of ventricular septal defect(VSD) in 19,correction of partial atrioventricular canal defect (PECD) in 3,correction of partial anomalous pulmonary venous connection (PAPVC) in 1,correction of Ebstein's anomalyin 1,and repair of ruptured aneurysm of the sinus of Valsalva in 1.Results In all patients,length of incision was (4.76 ± 0.95) cm.There was no early or late death.No patient required conversion to full sternotomy.The median CPB and aortic clamp times were (76.38 ± 29.97) and (33.49 ± 31.50) minutes,respectively.Median intubation time was (10.53 ± 6.13) hours.Median duration of intensive care and postoperative hospital stay was (14.93 ± 7.65) hours and (5.42 ± 1.98) days,respectively.Only 9 patients(14.3％) received blood transfusion.Follow-up echo showed no residual defect.All patients have gratifying cosmetic results and are in excellent condition after a median follow-up of (13.75 ± 8.91)months.Conclusion The small anterolateral thoracotomy in congenital cardiac surgery is a safe and feasible approach,and with a excellent cosmetic results.
