Total thoracoscopic repair of ventricular septal defect: A single-center experience

作者：Zhou, Kan; Yang, Liang; He, Biao-Chuan; Ke, Ying-Jie; Yang, Yan-Chen; Yan, Qian; Chen, Ze-Rui; Huang, Huan-Lei^*

来源：JOURNAL OF CARDIAC SURGERY, 2021, 36(7): 2213-2218.

DOI：10.1111/jocs.15504

• mini&#8208
• sternotomy
• total thoracoscopic repair
• ventricular septal defect

Objectives To explore the safety and efficacy of total thoracoscopic repair of ventricular septal defects (VSD). We compared clinical outcomes of VSD via a total thoracoscopic approach with those of mini-sternotomy. @@@ Methods We retrospectively reviewed clinical data from patients with VSD from 2012 to January 2019. According to the surgical pattern, they were divided into two groups: the total thoracoscopic surgery group (36 patients, 27 females, aged 29 +/- 9.52 years), and a mini-sternotomy group (31 patients, 12 females, aged 28 +/- 8.67 years). @@@ Results There were no deaths in either group. In the thoracoscopic group, cardiopulmonary bypass (CPB) time and aortic cross-clamping (ACC) time were significantly longer than those of the mini-sternotomy group (CPB time: 112 +/- 23.16 min vs. 78 +/- 37.90 min, respectively, p < .001; ACC time: 65 +/- 19.94 min vs. 50 +/- 24.90 min, respectively, p < .001). postoperative hospital stay time (5.11 +/- 2.48 days vs. 5.90 +/- 6.27 days, p = .488) and chest drainage (139.86 +/- 111.71 ml vs. 196.13 +/- 147.34 ml, p = .081) tended to be lower in the thoracoscopy group, although there was no significant difference. No residual shunt or tricuspid regurgitation was found at follow-up. @@@ Conclusions Total thoracoscopic repair is safe and effective in patients with VSD, with or without tricuspid regurgitation.

• 单位
  广东省人民医院; 广东省心血管病研究所; 南方医科大学