Minimally invasive surgical technique for the treatment of congenital double aortic arch
- VernacularTitle:先天性双主动脉弓微创外科治疗
- Author:
Qi LIU
1
;
Shan WANG
1
;
Shoujun LI
1
;
Zhongdong HUA
1
Author Information
1. Pediatric Cardiac Surgery Center, National Center for Cardiovascular Disease, Fuwai Hospital, Chinese Academy of Medical Sciences, Beijing, 100037, P. R. China
- Publication Type:Journal Article
- Keywords:
Double aortic arch;
minimally invasive surgical technique;
minimal subaxillary incision
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2023;30(10):1429-1432
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize the treatment results of double aortic arch (DAA) by minimally invasive surgical technique. Methods We retrospectively analyzed the clinical data of DAA patients who underwent minimally invasive surgeries in our center between October 2016 and August 2021. Results There were 11 males and 4 females with a mean age of 3-61 (20.00±18.80) years. There were 8 patients of DAA and 7 patients of DAA complicated with distal left-sided aortic arch atresia and ligamentum connection. All patients received operations through minimal subaxillary incision, 13 patients were through left side and 2 patients were through right side. One patient with ventricular septal defect was performed operations concurrently under the cardiopulmonary bypass through right minimal subaxillary incision. All patients had symptom improvement without surgery related complications or death in postoperative period. The duration of operation was 30-192 (61.93±40.19) min and mechanical ventilation time was 2-9 (5.33±2.53) h. The length of ICU stay was 18-124 (51.00±38.07) h and hospital stay time was 8-21 (12.67±3.42) d. All patients had sympto-matic relief with good growth and exercise tolerance during the follow-up of 6 (3, 9) months. Conclusion Minimally invasive surgical technique is a safe, effective and cosmetic approach with good results for DAA treatment.
