Article Sidebar

PDF
Date Published: 28/08/2023
Online Published: 04/09/2023
Abstract Views: 191
Views PDF: 91
DOI: https://doi.org/10.47972/vjcts.v43i.1025
Issue
Vol. 43: SỐ ĐẶC BIỆT CỦA HỘI TIM MẠCH THÀNH PHỐ HÀ NỘI
Section
Research Article
How to Cite
Nguyen, S. H., Nguyen, H. P., Nguyen, D. H., Dang, Q. D., Nguyen, H. D., & Nguyen, T. M. P. (2023). Effective and aesthetic results of horizontal right axillary minithoracotomy for congenital heart defects repair in children. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 43, 167 - 175. https://doi.org/10.47972/vjcts.v43i.1025

Effective and aesthetic results of horizontal right axillary minithoracotomy for congenital heart defects repair in children

Sinh Hien Nguyen1, , Huu Phong Nguyen1, Dang Hung Nguyen1, Quang Dai Dang, Hai Dang Nguyen, Thi Minh Phuong Nguyen
1 Hanoi Heart Hospital

Main Article Content

Abstract

Background: horizontal right axillary minithoracotomy is one of the treatment options for many simple congenital heart defects. This approach shows many aesthetic advantages besides effectiveness and safety. This study aims to: comment on the technical characteristics and early results of horizontal right axillary minithoracotomy in children at Hanoi Heart Hospital.


Methods: a descriptive cross-sectional study. We retrospectively reviewed 156 patients who underwent horizontal right axillary minithoracotomy at Hanoi Heart Hospital from January 2022 to December 2022.


Results: horizontal axillary approach could be applied even for children with low weight, average weight was 12.22 ± 8.67 kg, the lowest was 2.6 kg and the highest was 51.0 kg. A wide range of congenital heart defects were repaired, including ventricular septal defect closure (84 patients), secundum atrial septal defect closure (22 patients), ventricular septal defect with stenosis repair (31 patients), partial atrio-ventricular septal canal repair (6 patients), repair of atrial septal defect with partial abnormal return of the pulmonary veins (3 patients), repair of ventricular septal defect and atrial septal defect (4 patients), Cor triatriatum sinister repair (4 patients), mitral valve repair (1 patient), atrial septal defect and pulmonary valve stenosis repair (1 patient). Cannulation of the aorta and vena cavae was performed through the main incision, whose size ranged from 3.5 to 5.5cm. The average postoperative hospital stay was 7.34 ± 2.16 days, the rate of severe complications and hospital mortality were 0%.


Conclusion: horizontal right axillary minithoracotomy was a good approach to correct many simple congenital heart defects in children. This technique is being applied at Hanoi Heart Hospital safely and provided outstanding advantages in terms of aesthetics.

Article Details

Keywords

horizontal right axillary minithoracotomy

References

1. Tiete AR, Sachweh JS, Kozlik-Feldmann R, Netz H, Reichart B, Daebritz SH. Minimally Invasive Surgery for Congenital Heart Defects in Paediatric Patients. Thorac Cardiovasc Surg. 2002;50(5):271-275. doi:10.1055/s-2002-34582
2. Gil-Jaurena JM, González-López MT, Pérez-Caballero R, Pita A, Castillo R, Miró L. 15 years of minimally invasive paediatric cardiac surgery; development and trends. Anales de Pediatría (English Edition). 2016;84(6):304-310. doi:10.1016/j.anpede.2015.06.022
3. Schreiber C, Bleiziffer S, Lange R. Midaxillary lateral thoracotomy for closure of atrial septal defects in pre-pubescent female children: Reappraisal of an “old technique.” Cardiology in the young. 2004;13:565-567. doi:10.1017/S1047951103001185
4. Silva L da F da, Silva JP da, Turquetto ALR, et al. Horizontal right axillary minithoracotomy: aesthetic and effective option for atrial and ventricular septal defect repair in infants and toddlers. Braz J Cardiovasc Surg. 2014;29:123-130. doi:10.5935/1678-9741.20140028
5. Hong ZN, Chen Q, Lin ZW, et al. Surgical repair via submammary thoracotomy, right axillary thoracotomy and median sternotomy for ventricular septal defects. J Cardiothorac Surg. 2018;13(1):47. doi:10.1186/s13019-018-0734-5
6. Prêtre R, Kadner A, Dave H, Dodge-Khatami A, Bettex D, Berger F. Right axillary incision: A cosmetically superior approach to repair a wide range of congenital cardiac defects. The Journal of Thoracic and Cardiovascular Surgery. 2005;130(2):277-281. doi:10.1016/j.jtcvs.2005.03.023
7. Heinisch PP, Wildbolz M, Beck MJ, et al. Vertical Right Axillary Mini-Thoracotomy for Correction of Ventricular Septal Defects and Complete Atrioventricular Septal Defects. The Annals of Thoracic Surgery. 2018;106(4):1220-1227. doi:10.1016/j.athoracsur.2018.05.003
8. Dave HH, Comber M, Solinger T, Bettex D, Dodge-Khatami A, Prêtre R. Mid-term results of right axillary incision for the repair of a wide range of congenital cardiac defects☆. European Journal of Cardio-Thoracic Surgery. 2009;35(5):864-870. doi:10.1016/j.ejcts.2009.01.022
9. Nguyen Ly TT. Kết quả phẫu thuật tim hở ít xâm lấn cho trẻ em qua đường mổ dọc theo đường nách giữa bên phải tại Bệnh viện Nhi Trung ương. jcmhch. 2022;(77). doi:10.38103/jcmhch.77.15