Evaluation of results of minimally invasive cardiac surgery with video assisted in Bach Mai hospital3

Duong Duc Hung, Pham Quoc Dat, Vuong Hai Ha, Duong Thi Hoan, Le Duc Thang, Nguyen Duc Nha, Pham Thai Son

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Abstract

A total of 71 patients, females (71.8%) mean age was 41.8 ± 11.2 years. Surgery included: 22 cases close atrial septal defect and tricuspid valve plasty, 49 cases of mitral valve replacement +/- tricuspid valve plasty. Surgical techniques: peripheral perfution canulation; 4-6cm small right thoracotomy; MICS system installation; clamp aorta with Chiwood clamp, cardioplegia with warm blood and performing procedures with thoracoscopic instruments support. Technical success was 100%. CPB time/aortic clamp time: Mitral valve group:64,0 ± 15,3 mín/103,1 ± 24,3 min ASD group with aortic clamp:40,1 ± 20,53 min/69,9 ± 26,81 min; CPB time of ASD with beating heart: 65,9± 21,24 min.Postoperative outcomes: Mortality 0%; Complications: Bleeding: 1 cases (1,2%); Transient ischemic attack : 3 case (4.2%); Postoperative echocardiographywith good results. MICS could be performed with good results at Bach Mai hospital and this ís a safe and effective procedure for treatment mitral valve disease and atrial septal defect.

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References

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