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Evaluation of Early Outcomes of Minimally Invasive Congenital Heart Surgery via Right Axillary Approach at the Heart Institute of Ho Chi Minh City
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Abstract
Background: At our Heart Institute, the right axillary approach has been chosen for minimally invasive cardiac surgery for congenital cardiac patients in both adults and children.
Objective: we evaluate the results of minimally invasive congenital cardiac surgery via the right axillary approach at the Heart Institute of HCM City.
Method: descriptive study, case series.
Results: From 11/2022 to 08/2024, 123 patients with congenital heart defects underwent complete repair via the right axillary minimally invasive cardiac surgery. There were 93 ASD (75.5%), 17 VSD (13.8%), 11 partial or intermediate AVSD (8.9%) and 2 Cor Triatriatum (1.6%). Concomitant procedures included: 2 PDA ligation (1.6%), 2 pAPVD repairs (1.6%), 12 tricuspid valve repairs (9.5%), 1 mitral valve repair (0.8%), and 1 resection of subaortic stenosis (0.8 %). There was no hospital mortality, the median time of ICU stay was 1 day and the median time of hospital stay was 7 days.
Conclusion: minimally invasive cardiac surgery via the right axillary approach could be applied for simple congenital heart defects safely with low morbidity.
Article Details
Keywords
MICS, congenital heart diseases, right axillary approach
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