Article Sidebar

PDF
Date Published: 02/11/2020
Online Published: 02/11/2020
Abstract Views: 362
Views PDF: 245
DOI: https://doi.org/10.47972/vjcts.v18i.112
Issue
Vol. 18
Section
Research Article
How to Cite
Hung, D. D. ., Dat, P. Q. ., Ha, V. H. ., Hoan, D. T. ., Thang, L. D. ., Nha, N. D. ., & Son, P. T. . (2020). Evaluation of results of minimally invasive cardiac surgery with video assisted in Bach Mai hospital3. The Vietnam Journal of Cardiovascular and Thoracic Surgery, 18, 15-25. https://doi.org/10.47972/vjcts.v18i.112

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

Main Article Content

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.

Article Details

Keywords

Open heart surgery minimally invasive, Minimally Invasive Cardiac Surgery (MICS), Bạch Mai hospital.

References

1. Carpentier, A., et al., [Open heart operation under videosurgery and minithoracotomy. First case (mitral valvuloplasty) operated with success]. C R Acad Sci III, 1996. 319(3): p. 219-23.
2. Mohr, F.W., et al., Minimally invasive port-access mitral valve surgery. J Thorac Cardiovasc Surg, 1998. 115(3): p. 567-74; discussion 574-6.
3. Chitwood, W.R., Jr., Minimally invasive mitral valve surgery: introduction. Semin Thorac Cardiovasc Surg, 1999. 11(3): p. 192-3.
4. Grossi, E.A., et al., Minimally invasive mitral valve surgery: a 6-year experience with 714 patients. Ann Thorac Surg, 2002. 74(3): p. 660-3; discussion 663-4.
5. McClure, R.S., et al., One thousand minimally invasive mitral valve operations: early outcomes, late outcomes, and echocardiographic follow-up. J Thorac Cardiovasc Surg, 2013. 145(5): p. 1199-206.
6. Nguyễn Công Hựu and Lê Ngọc Thành, Phẫu thuật tim hở ít xâm lấn với nội soi hỗ trợ tại Trung tâm Tim mạch bệnh viện E: Những bước đi ban đầu và triển vọng. Tạp chí Y học Việt Nam 2014. 1(414): p. 37-40.
7. Aybek, T., et al., Two hundred forty minimally invasive mitral operations through right minithoracotomy. Ann Thorac Surg, 2006. 81(5): p. 1618-24.
8. Reichenspurner, H., et al., Video and robotic-assisted minimally invasive mitral valve surgery: a comparison of the Port-Access and transthoracic clamp techniques. Ann Thorac Surg, 2005. 79(2): p. 485-90; discussion 490-1.
9. Iribarne, A., et al., Minimally invasive versus sternotomy approach for mitral valve surgery: a propensity analysis. Ann Thorac Surg, 2010. 90(5): p. 1471-7; discussion 1477-8.
10. Mishra, Y.K., et al., Port-access approach for cardiac surgical procedures: our experience in 776 patients. Indian Heart J, 2005. 57(6): p. 688-93.
11. Davierwala, P.M., et al., Minimally invasive mitral valve surgery: "The Leipzig experience". Ann Cardiothorac Surg, 2013. 2(6): p. 744-50.