167 posters, 28 videos, 9 topics, 12 sessions, 337 authors, 160 institutions
ePostersLive by SciGen Technologies S.A. All rights reserved.
ISMICS 2023 Annual Meeting
31 May - 3 June, 2023 | Boston, MA
PC58
Минимально инвазивная хирургия врожденных пороков сердца с доступом к правой передней миниторакотомии: одноцентровый анализ 460 пациентов
Poster Presenter
Part of Topic
Pediatric - Cardiac, Cardiovascular & Thoracic
Minimally Invasive Congenital Cardiac Surgery Through Right Anterior Minithoracotomy Approach Single – Center analysis of 480 patients.
BACKGROUND
Comparisonoftheresultsofclosureoftheventricularseptaldefectusingthoracoscopicandmedianapproaches.
METHODS
FromJanuary2012toDecember2022,460patientsunderwentsurgicalcorrectionofseptalheartdefectsthroughrightanteriorminithoracotomywithcentralcannulationofcardiopulmonarybypass.Themeanagewas7.2±3.42yearsandtheaverageweightwas13,5±4,5kg.Atrialseptaldefects(ASD)amountedto270andventricularseptaldefects(VSD)-178,partialdefectsoftheatrioventricularseptum–12.
RESULTS
Therewerenohospitalmortalityorseriouscomplications.CorrectionofanASDwasperformedonabeatingheart,themeanCPBtimeforASDrepairwas42±22minutes,themeanCPBtimeforVSDwas54±18minutes,andthemeantimeaorticcrossclamptimewas32±12minutes.Averageincisionlength-4.5cm.Thecosmeticoutcomewasexcellentinallpatients.Thereweretwoconversionstotransversesternotomy.Noneurologicaleventswerereported.Follow-uptransthoracicechocardiographybeforedischargerevealedaresidualshuntin4patientswithVSD.
CONCLUSIONS
Webelievethatrightanteriorminithoracotomywithoutperipheralcannulationforthecorrectionofseptaldefectsoftheheartisasafeandfeasibleprocedurethatprovidesahighlevelofsatisfactionwiththecosmeticeffect.