Off-pump occlusion of trans-thoracic minimal invasive surgery (OPOTTMIS) on simple congenital heart diseases (ASD, VSD and PDA) attached consecutive 210 cases report: A single institute experience
| Autor: | Yonghong Zhao, Cheng Zhang, Yong Cao, Qing-kui Guo, Shao-fei Cheng, Yue-li Zhang, Zhi-qian Lu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Heart Septal Defects
Ventricular Male Septal Occluder Device Heart Septal Defects Atrial Postoperative Complications Minimal invasive surgery Ductus arteriosus Child Ductus Arteriosus Patent Heart septal defect medicine.diagnostic_test Occlusion Congenital Heart Disease General Medicine Middle Aged Haemolysis Cardiac surgery Treatment Outcome medicine.anatomical_structure Cardiothoracic surgery Child Preschool Infective endocarditis Cardiology Female Cardiology and Cardiovascular Medicine Research Article Adult Heart Defects Congenital Pulmonary and Respiratory Medicine medicine.medical_specialty congenital hereditary and neonatal diseases and abnormalities Adolescent lcsh:Surgery Off-pump lcsh:RD78.3-87.3 Young Adult Internal medicine medicine Humans Minimally Invasive Surgical Procedures cardiovascular diseases Cardiac Surgical Procedures Retrospective Studies Trans-esophageal Echocardiography business.industry lcsh:RD1-811 medicine.disease Surgery lcsh:Anesthesiology business Electrocardiography |
| Zdroj: | Journal of Cardiothoracic Surgery, Vol 6, Iss 1, p 48 (2011) Journal of Cardiothoracic Surgery |
| ISSN: | 1749-8090 |
| Popis: | Objective This paper intends to report our experiences by using an operation of off-pump occlusion of trans-thoracic minimal invasive surgery (OPOTTMIS) on the treatment of consecutive 210 patients with simple congenital heart diseases (CHD) including atrial septal defect (ASD), ventricular septal defect (VSD) and patent ductus arteriosus (PDA). Methods The retrospective clinical data of OPOTTMIS in our institute were collected and compared to other therapeutic measures adopted in the relevant literatures. After operation, all the patients received electrocardiography (ECG) and echocardiography (echo) once a month within the initial 3 months, and no less than once every 3 ~ 6 months later. Results The successful rate of the performed OPOTTMIS operation was 99.5%, the mortality and complication incidence within 72 hours were 0.5% and 4.8%, respectively. There were no major complications during peri-operation such as cardiac rupture, infective endocarditis, strokes, haemolysis and thrombosis. The post-operation follow-up outcomes by ECG and echo checks of 3 months to 5 years showed that there were no III° AVB, no obvious Occluder migration and device broken and no moderate cardiac valve regurgitation, except 1 VSD and 1 PDA with mild residual shunts, and 2 PDA with heart expansion after operation. However, all the patients' heart functions were in class I~II according to NYH standard. Conclusion The OPOTTMIS is a safe, less complex, feasible and effective choice to selected simple CHD patients with some good advantages and favorable short term efficacies. |
| Databáze: | OpenAIRE |
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