Background
The thoracoscope and minimally invasive techniques have been effectively used in cardiac
surgery.
Methods
The study included 27 consecutive patients (aged 24.8±17.6 years), who underwent cardiac
surgery from January 2012 to July 2013. Six patients were diagnosed with mitral valve
stenosis (MS), 17 patients with atrial septal defects (ADSs), and four with ventricular
septal defects (VSDs). All the patients underwent thoracoscope-assisted right vertical
infra-axillary mini-incision (TARVAI).
Results
The procedure was successfully performed in all patients. For the patients with ASDs
or VSDs, the times for cardiopulmonary bypass, aortic cross-clamping, operating (skin-to-skin),
ventilation, ICU stay, postoperative hospital stay were 63±25 min, 28.1±15.5 min, 167.1±35.7 min, 5.2±2.7 h, 25.3±10.5 h, 8.7±3.6 days, and for the patients with MS, these were 143.3±25.2 min, 88.2±15.4 min, 236.5±48.5 min, 7.3±1.5 h, 36.7±9.1 h, and 13.5±4.4 days, respectively. The median postoperative drainage (total) for
the ASD/VSD and MS patients was 136.3±54.5 ml and 203.8±94.4 ml, respectively.
Conclusions
In our institution, the TARVAI approach is feasible and safe in cardiac surgery. It
may be particularly useful in young patients with simple congenital heart disease
and mitral valve disease.
Keywords
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Article info
Publication history
Published online: December 04, 2014
Accepted:
November 24,
2014
Received in revised form:
November 17,
2014
Received:
October 8,
2014
Identification
Copyright
© 2014 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier Inc. All rights reserved.
