Right and left anterolateral mini-thoracotomy for repair of congenital ventricular septal defect

Dang Quang Huy, Nguyen Cong Huu, Tran Dac Dai, Nguyen The Binh, Nguyen Van Huynh, Do Van Tu , Pham Ngoc Anh, Le Ngoc Thanh

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Abstract

Much more concern is recently paid to the cosmetic when simple congenital heart disease (CHD) is repaired. From June 2015to June 2016, 15 patients (F/M: 5/10; aged from 3 to 50 years) underwent repair of congenital ventricular septal defects (VSDs) using right (n=8) and left (n=7) anterolateral mini-thoracotomy. We compared the peri-operative data of these patients with that of the same age patients (n=25) who underwent median sternotomy before that time. VSDs were of the peri-membranous (n=6) and sub-arterial infundibular (n=9) type in mini-thoracotomy group. Follow up time was from 1 month to 1 year. There was no in-hospital mortality in both groups. Mean Cardiopulmonary bypass (CPB) time and Aorta cross clamping (ACC) time in two mini-thoracotomy subgroups were longer than that of sternotomy subgroups, respectively. There were no differences between mean intubation time, ICU stay time and post-operative hospital stay time in two mini-thoracotomy subgroups and that of sternotomy subgroups. Closure of VSDs was successfully performed in all patients. There were no complications related to peripheral cannulation. All the patients and their family were satisfied with cosmetic result of the scars. This method was safe and effective especially for girls and women with VSDs

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References

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