Evaluation of Different Minimally Invasive Techniques in Surgical Treatment for Ventricular Septal Defect

Liu, Huagang; Wang, Zhiwei; Xia, Jun; Hu, Rui; Wu, Zhiyong; Hu, Xiaoping; Ren, Wei

doi:10.1016/j.hlc.2017.01.014

Cited by 21 publications

(17 citation statements)

References 17 publications

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“…This technique leaves the sternum intact, which may increase the postoperative recovery rate. 13 Several reports have described similar cases and treatment techniques but with small numbers of pediatric and adult patients. [5][6][7][8] Our report of 11 patients is the largest series among all published pediatric series of direct implantation by right thoracotomy.…”

Section: Discussionmentioning

confidence: 99%

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Surgical correction for scimitar syndrome by right thoracotomy and direct anastomosis in children

Cheng

Zhu

et al. 2021

Pediatric Investigation

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Importance Scimitar syndrome (SS) is a rare type of congenital heart disease characterized by total or partial anomalous venous drainage of the right lung to the inferior vena cava. However, the surgical repair techniques for SS vary according to patients’ anatomical and pathological features. Objective This study was performed to analyze the mid‐term results of a less invasive surgical correction technique for SS in children. Methods Eleven patients with SS who underwent surgical repair from January 2012 to March 2020 were retrospectively analyzed. The anomalous scimitar vein (SV) was directly reimplanted to the left atrium, and the concomitant atrial septal defect was simultaneously repaired with cardiopulmonary bypass. Results Three male and eight female patients were included in the study. Their mean age was 3.1 ± 1.3 years, and their mean body weight was 12.8 ± 3.0 kg. Most patients had symptoms, such as upper respiratory tract infection, dyspnea, and recurrent pneumonia, and two patients had pulmonary hypertension. None of the 11 patients who underwent direct SV reimplantation by right thoracotomy developed bleeding, arrhythmia, heart failure, or perioperative death, and no patients required reoperation during a mean follow‐up period of 36.6 ± 15.2 months. Postoperative echocardiography revealed no restenosis or obstruction of the anastomosis in any patients. Interpretation Surgical repair for SS by right thoracotomy and direct anastomosis of the SV to the posterior wall of the left atrium is safe and effective, with good long‐term patency of the reimplanted SV and a low mortality rate.

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Section: Discussionmentioning

confidence: 99%

“…No patients in our study developed postoperative hemothorax, needed a reoperation for bleeding, or died during the perioperative period. This technique leaves the sternum intact, which may increase the postoperative recovery rate 13 …”

Section: Discussionmentioning

confidence: 99%

Surgical correction for scimitar syndrome by right thoracotomy and direct anastomosis in children

Cheng

Zhu

et al. 2021

Pediatric Investigation

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“…With surgical advancements, the incidence rate of mortality from simple congenital heart diseases such as atrial septal defect or ventricular septal defect drops to near zero. In an attempt to improve cosmetic results and avoid the potential drawbacks associated with conventional sternotomy, various approaches have been applied such as a partial sternotomy, subaxillary thoracotomy, anterior thoracotomy or totally thoracoscopy [[5], [6], [7], [8], [9], [10], [11], [12]].…”

Section: Discussionmentioning

confidence: 99%

“…Using mini-sternotomy for surgical treatment of VSDs was reported by some authors [11], [12]. Firstly, this technique was applied for correction of atrial septal defect and then other congenital heart diseases, especially ventricular septal defect [10].…”

Section: Discussionmentioning

confidence: 99%

Closure of subarterial ventricular septal defect with minimally invasive surgical technique: A case report

Duong

Dat

2019

International Journal of Surgery Case Reports

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“…In an effort to reduce injury related to fluoroscopy and angiography, another alternative technique is direct ventricular puncture using to close the VSD with a beating heart using an occluder recently came into practice. This method is widely used in China [4][5][6][7][8] and other countries [9][10][11][12]. However, there are still some disadvantages with this technique, including surgical trauma, incision, and scarring.…”

Section: Introductionmentioning

confidence: 99%

Echocardiography-guided percutaneous closure of perimembranous ventricular septal defects without arterial access and fluoroscopy

Yang

et al. 2019

BMC Pediatr

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Background: Traditional percutaneous device closure of perimembranous ventricular septal defects (PmVSDs) is a minimally invasive technique, but can result in high radiation exposure and can result in potential arterial complications. Here, we aimed to assess the safety and feasibility of device closure of PmVSDs via the femoral vein approach under transesophageal echocardiography (TEE) guidance in children. Methods: From January 2014 to December 2017, a total of 46 PmVSD patients (mean age, 6.5 ± 2.3 years [range, 4.2-12.0 years]; mean body weight 22.1 ± 6.6 kg [range, 16.0-38.5 kg]; VSD diameter, 4.1 ± 0.6 mm [range, 3.2-5.0 mm]) underwent attempted transcatheter closure via the femoral vein approach under the guidance of TEE without fluoroscopy. Results: The transcatheter occlusion procedure under TEE guidance was successful in 44 (95.7%) patients. Surgery was necessary in 2 (4.3%) patients. The procedure duration was 28.2 ± 8.7 min (range, 12.0-42.0 min). One patient had immediate post-operative trivial residual shunt and three patients had immediate incomplete right bundle branch block (IRBBB) after operation; the new IRBBB in 1 case was noted in the first postoperative month. No residual shunt was noted at 3 months after the procedure, and no intervention related complications were detected at 1-24 months follow-up. Conclusions: Percutaneous device closure of PmVSDs under TEE guidance solely by femoral vein approach is effective and safe, avoids radiation exposure, potential arterial complications and a surgical incision.

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Evaluation of Different Minimally Invasive Techniques in Surgical Treatment for Ventricular Septal Defect

Cited by 21 publications

References 17 publications

Surgical correction for scimitar syndrome by right thoracotomy and direct anastomosis in children

Surgical correction for scimitar syndrome by right thoracotomy and direct anastomosis in children

Closure of subarterial ventricular septal defect with minimally invasive surgical technique: A case report

Echocardiography-guided percutaneous closure of perimembranous ventricular septal defects without arterial access and fluoroscopy

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