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Date Published: 16/05/2023
Abstract Views: 259
Views PDF: 107
DOI: https://doi.org/10.51298/vmj.v526i1A.5272
Issue
Vol. 526 No. 1A (2023)
Section
Các bài báo
How to Cite
Mai , Đình D. ., & Nguyễn, L. T. T. . (2023). SHORT-TERM RESULTS OF MINIMALLY INVASIVE SURGICAL REPAIR FOR PARTIAL ATRIOVENTRICULAR SEPTAL DEFECT AT VIETNAM NATIONAL CHILDREN’S HOSPITAL. Vietnam Medical Journal, 526(1A). https://doi.org/10.51298/vmj.v526i1A.5272

SHORT-TERM RESULTS OF MINIMALLY INVASIVE SURGICAL REPAIR FOR PARTIAL ATRIOVENTRICULAR SEPTAL DEFECT AT VIETNAM NATIONAL CHILDREN’S HOSPITAL

Đình Duyên Mai 1, Lý Thịnh Trường Nguyễn1,
1 Vietnam National Children's Hospital

Main Article Content

Abstract

Objective: Evaluate the short-term outcomes of minimally invasive surgical repair for partial atrioventricular septal defect at Heart Center-Vietnam National Children’s Hospital. Methods: From August 2019 to August 2022, all patients diagnosed with partial atrioventricular septal defect who underwent minimally surgical repair using the right vertical infra-axillary mini-thoracotomy approach at Vietnam National Children’s Hospital were retrospectively reviewed. Results: There were 16 patients collected during the study period. There were 7 males and 9 females. Patients' median age and median weight was 23.8 months (IQR, 13.7-57.7 months) and 10.7 kg (IQR, 8.3-14.8 kg). Fourteen patients (87.5%) had moderate mitral valve regurgitation, and two patients (12.5%) had mild mitral regurgitation before surgery. Single lung ventilation was applied for all patients during surgical repair. The mean time for surgical repair and aortic cross-clamp time was 185 ± 31.6 minutes, and 71.7 ± 21.4 minutes, respectively. There was no mortality in this study. One patient required permanent pacemaker due to complete atrioventricular block. One patient was extubated immediately in the operating room after operation. The mean ventilation time was 10.4 ± 7.4 hours. Last visit follow-up revealed no residual shunt across the interatrial septum, and all patients had no or trivial mitral valve regurgitation at the echocardiography. There was no chest deformity at the last follow-up of all patients. Conclusion: Short-term results of minimally invasive surgical repair for treatment of partial atrioventricular septal defect were satisfactory. Further investigation with longer time of follow-up and bigger cohort is necessary.

Article Details

Keywords

partial atrioventricular septal defect, minimally invasive surgery, congenital heart defect

References

1. Minich LL, Atz AM, Colan SD, Sleeper LA, Mital S, Jaggers J, et al. Partial and Transitional Atrioventricular Septal Defect Outcomes. Ann Thorac Surg. 2010 Feb;89(2):530–6.
2. Alhay A. The left atrioventricular valve in partial atrioventricular septal defect: management strategy and surgical outcome. Eur J Cardiothorac Surg. 2004 Oct;26(4):754–61.
3. Zhu J, Zhang Y, Bao C, Ding F, Mei J. Individualized strategy of minimally invasive cardiac surgery in congenital cardiac septal defects. J Cardiothorac Surg. 2022 Dec;17(1):5.
4. An G, Zhang H, Zheng S, Wang W, Ma L. Mid-term Outcomes of Common Congenital Heart Defects Corrected Through a Right Subaxillary Thoracotomy. Heart Lung Circ. 2017 Apr;26(4):376–82.
5. Dave HH, Comber M, Solinger T, Bettex D, Dodge-Khatami A, Prêtre R. Mid-term results of right axillary incision for the repair of a wide range of congenital cardiac defects☆. Eur J Cardiothorac Surg. 2009 May;35(5):864–70.
6. Mishaly D, Ghosh P, Preisman S. Minimally Invasive Congenital Cardiac Surgery Through Right Anterior Minithoracotomy Approach. Ann Thorac Surg. 2008 Mar;85(3):831–5.
7. Prêtre R, Kadner A, Dave H, Dodge-Khatami A, Bettex D, Berger F. Right axillary incision: A cosmetically superior approach to repair a wide range of congenital cardiac defects. J Thorac Cardiovasc Surg. 2005 Aug;130(2):277–81.
8. Yang X, Wang D, Wu Q. Repair of Partial Atrioventricular Septal Defect through a Minimal Right Vertical Infra-Axillary Thoracotomy. J Card Surg. 2003 May;18(3):262–4.
9. Dodge-Khatami A, Salazar JD. Right Axillary Thoracotomy for Transatrial Repair of Congenital Heart Defects: VSD, Partial AV Canal With Mitral Cleft, PAPVR or Warden, Cor Triatriatum, and ASD. Oper Tech Thorac Cardiovasc Surg. 2015; 20(4):384–401.