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Ngày xuất bản: 31/07/2024
Ngày xuất bản Online: 31/07/2024
Số lượt xem tóm tắt: 152
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DOI: https://doi.org/10.47972/vjcts.v47i.1156
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Tập 47
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Do, A. T., Luong, T. N. H., & Nguyen, T. T. (2024). Early outcomes of minimal invasive surgery via the axillary approach for complex congenital heart disease at the Cardiovascular Center - E hospital. Tạp chí Phẫu thuật Tim mạch và Lồng ngực Việt Nam, 47, 53-57. https://doi.org/10.47972/vjcts.v47i.1156

Early outcomes of minimal invasive surgery via the axillary approach for complex congenital heart disease at the Cardiovascular Center - E hospital

Do Anh Tien, Luong Thi Nhu Huyen, Nguyen Tran Thuy

Nội dung chính của bài viết

Tóm tắt

 


Objective: This study aims to outline the initial outcomes of implementing minimally invasive surgery via the right axillary approach to completely repair complex congenital heart diseases.


Summary: Minimally invasive surgical techniques have gained widespread adoption in managing simple congenital heart diseases such as atrial septal defect, ventricular septal defect, partial atrioventricular septal defect, cor triatriatum, and partial anomalous pulmonary venous return. Postoperative results have demonstrated equivalence, if not superiority, to traditional sternotomy procedures while offering enhanced cosmetic benefits. However, for more intricate congenital heart conditions such as tetralogy of Fallot (TOF), complete atrioventricular septal defect (CAVSD), and Ebstein syndrome, this study evaluates the early outcomes of employing minimally invasive surgery via the right axillary approach, a technique that remains relatively uncommon globally. Our study seeks to assess the initial outcomes of this approach in managing complex congenital heart diseases.


Subjects and methods: descriptive method based on  a series of cases. From April 2023 to December 2023, 45 patients diagnosed with complex congenital heart disease underwent minimally invasive surgery utilizing the axillary approach. This cohort comprised 40 patients with tetralogy of Fallot, 3 patients with complete atrioventricular septal defect, and 2 patients with Ebstein syndrome.


Results: All procedures were technically successful, without requiring sternotomy. The cardiopulmonary bypass times for the TOF, complete AVSD, and Ebstein syndrome groups were 81 minutes, 91 minutes, 96 minutes, respectively. Corresponding aortic cross - clamp times were 70 minutes, 72 minutes, and 74 minutes. There were no postoperative fatalities or significant  complications. Postoperative echocardiographic evaluations demonstrated favorable outcomes.


Conclusion: Minimally invasive surgery via the axillary approach for managing complex congenital heart diseases yields promising early results and offers notable cosmetic advantages.

Chi tiết bài viết

Từ khóa

complex congenital heart disease, minimally invasive surgery, axillary approach

Tài liệu tham khảo

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