KẾT QUẢ PHẪU THUẬT ÍT XÂM LẤN ĐIỀU TRỊ BỆNH TIM BẨM SINH

Abstract

Objective: To evaluate the feasibility and early results of minimally invasive surgery for congenital heart diseases. Summary: The incident of congenital heart disease (CHD) varies about 0,8% all live births. If  CHD isn’t diagnosis and treatment when the patient was a child it becomes a CHD in an adult. The first open heart surgery was described by Gibbon in 1953, from that time, the open heart surgery has been popular at hospital. Today, beside traditional open heart sugery, minimally invasive congenital heart surgery (MICHS) a widespread tendency. At E hospital, MICHS has been established since 2012. we  conducted  this  study to Evaluate the feasibility and results of of minimally invasive surgery for congenital heart diseases. Subjects and methods: From 1/2012 to 12/2023, there were 1020 CHDs underwent MICHS which include: Atrial septal defect (403 patients), ventricular septal defect (497 patients), partial atrioventricular septal defect (70 patients), complex CHDs (50 patients - Tetralogy of Fallot, Complete atrioventricular septal defect, Ebstein symdrome, Single ventricular diseases). MICHS are thoracotomy, video assited endosurgery and totally endosurgery. The results: No mortality, no patient had sternotomy. The main comlications: 8 patients had re-operation becausing of bleeding (5 ASD and 3 VSD); 5 patients with brain injury (1 ASD, 3 VSD and 1 pAVSD); 4 patients with common femoral artery sternotic who had repair femoral artery; 3 patients VSD had permanent pacemaker implatation. Conclusion: Minimally invasive congenital heart surgery can be   performed routinely with excellent early outcomes.