Clinical efficacy of three surgical approaches for repairing adult giant atrial septal defects
10.3969/j.issn.1671-8348.2025.09.026
- VernacularTitle:3种手术入路修复成人巨大房间隔缺损的临床疗效研究
- Author:
Chunzhu XUE
1
;
Yang HE
;
Banghui LAI
;
Jun CHEN
;
Yi ZHANG
;
Shungang LI
;
Xianzhi WANG
;
Cunfu MU
Author Information
1. 广元市第一人民医院心胸外科,四川广元 628017
- Keywords:
atrial septal defect;
extracorporeal circulation;
right axilla;
lower sternum segment;
minimal invasion;
thoracoscope
- From:
Chongqing Medicine
2025;54(9):2142-2146
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical efficacies among three surgical approaches of small inci-sion in the lower segment of the sternum,small incision in the right axilla and thoracoscopic 3 incisions for re-pairing adult giant atrial septal defects(ASD).Methods The medical records of 112 patients with giant ASD undergoing surgical repair in this hospital from January 2018 to January 2024 were retrospectively analyzed.According to the different surgical approaches,the patients were divided into the group A(n=35,small inci-sion in the lower part of the sternum),group B(n=37,small incision in the right axilla)and group C(n=40,thoracoscopic 3 incisions).The general data,operation time,cardiopulmonary bypass time,blood transfusion volume,incision length,postoperative VAS score,postoperative mechanical ventilation time,ICU stay time,postoperative hospitalization duration,hospitalization cost and postoperative complications occurrence rates were compared among the various groups.Results There were no statistically significant differences in the operation time,cardiopulmonary bypass time,blood transfusion volume,postoperative mechanical ventilation time,ICU stay time and postoperative hospitalization duration among 3 groups(P＞0.05).The hospitalization cost in the group C was higher than that in the groups A and group B,the postoperative VAS score in the group B was higher than that in the group A and C,the incision size in the group C was shorter than that in the group A and group B,and the differences were statistically significant(P＜0.05).All patients were suc-cessfully repaired.The incidence rate of postoperative pulmonary infection in the group A and group C was lower than that in the group B,and the difference was statistically significant(P＜0.05).Conclusion All three surgical approaches could safely and effectively repair adult giant ASD.Different surgical approaches should be selected based on the specific conditions of the patients.
