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

Zhou, Kan; Yang, Liang; He, Biao-Chuan; Ke, Yingjie; Yang, Yanchen; Yan, Qi; Chen, Zerui; Huang, Huanlei

doi:10.1111/jocs.15504

Cited by 3 publications

(3 citation statements)

References 19 publications

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“…The study included 36 patients aged 29 ± 9.52 years, the results revealed that the time of artificial circulation was 112 ± 23.16 minutes and the time of aortic clamping was 65 ± 19.94 minutes, the time of postoperative hospital stay was 5.11 ± 2 .48 days, according to drainages 139.86 ± 111.71 ml. Compared to the data in our study group, there is a higher age, longer bypass time and longer aortic cross-clamping time than in our study 14 .…”

Section: Discussioncontrasting

confidence: 96%

Right anterior minithoracotomy with preservation of the vascular bundle for correction of congenital ventricular septal defects

Kuramys,

Bolatbekov,

Joshibayev

et al. 2024

Bangladesh J Med Sci

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Introduction Congenital VSDs require early correction to avoid serious complications. For many years, the gold standard was the median longitudinal sternotomy, but given the gross cosmetic effect, miniapproaches were developed, but right anterior mini-thoracotomies gained popularity. We modified the method of anterior right-sided minithorcatomy by preserving a. et v. mammaria interna and the purpose of the study was to evaluate its effectiveness. Material and Methods The design of the study was prospective with historical control. A total of 82 patients who underwent VSD correction were included in the study. All patients were divided into three groups: group 1 operated by median sternotomy (MS) – 15 patients; Group 2 operated by right anterior minithoracotomy (RAMT) – 38 patients; and the 3rd main group operated on by right antero-lateral thoracotomy (RLMT) with preservation of the artery and vein of the internal mammary artery - 29 patients. Results We revealed the older age in RAMT group. Cardio pulmonary bypasstime and total operation time were shorter in RLMT group, but the time of aortic cross-clamping is shorter than in RAMT group, but longer than in MS group. The length of the skin incision is also the shortest in RLMT group, which enhances the cosmetic effect. Also there were revealed a shorter mechanical lung ventilation time and ICU stay, moreover we observed reduced amount of drainages, as well as quick discharge home. Conclusion Therefore, improved and modificated right antero-lateral minithoracotomy method with preserving a et v mammaria interna is feasible, has a good cosmetic effect, and short hospitalization stay, but should perform with careful preparation of the entire cardiac team. Bangladesh Journal of Medical Science Vol. 23 No. 02 April’24 Page : 514-520

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Section: Discussioncontrasting

confidence: 96%

Right anterior minithoracotomy with preservation of the vascular bundle for correction of congenital ventricular septal defects

Kuramys,

Bolatbekov,

Joshibayev

et al. 2024

Bangladesh J Med Sci

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“…In addition, the incidence of SVA is higher in young to middle-aged adults; the total thoracoscopic approach has a better chance of reoperation than median sternotomy. The total thoracoscopic technique has been reported and effectively used for some congenital cardiac diseases, such as VSD and atrial septal defect (19,20). Fukumoto et al (21) reported a case of aorto-right ventricular fistula using 3D endoscopy.…”

Section: Discussionmentioning

confidence: 99%

Case report: Total thoracoscopic repair of sinus of Valsalva aneurysm combined with ventricular septal defect

Tan

Liu²,

Ma³

et al. 2022

Front. Cardiovasc. Med.

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The sinus of Valsalva aneurysm (SVA) is a rare cardiac anomaly. It can develop into the heart failure if it ruptures, which requires early intervention. However, such congenital anomalies are usually treated using a median sternotomy approach. Here, we report a rare case of SVA combined with a ventricular septal defect in which the patient underwent patch repair of the defects under a total thoracoscopy approach. She was discharged uneventfully and showed no residual shunt or aortic regurgitation postoperatively or at the 12-month follow-up. The total thoracoscopic approach for SVA repair is technically feasible.

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“…Regarding totally endoscopic aortic valve replacement (TEAVR), previous studies have indicated that it is a safe and feasible alternative to perform AVR [3][4][5][6]. In the field of ventricular septal defect repair, a comparison between totally endoscopic and Mini-sternotomy-AVR (Mini-AVR) showed that outcomes were similar in both groups [7]. However, to our knowledge, no studies compared the clinical outcomes after TEAVR to Mini-AVR.…”

Section: Introductionmentioning

confidence: 99%

Aortic Valve Replacement: Totally Endoscopic versus Mini-Sternotomy

Yilmaz,

Claessens,

Packlé

et al. 2023

JCM

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(1) Background: The development of totally endoscopic aortic valve replacement has the potential to enhance clinical results compared to mini-sternotomy. To our knowledge, no comparison between these two techniques has been conducted before. Therefore, the objective of this retrospective study is to examine the results after both totally endoscopic and mini-sternotomy approaches. (2) Methods: This study covered all elective patients who underwent isolated aortic valve replacement, either totally endoscopically (n = 392) or through a mini-sternotomy (n = 323), between 2013 and 2021. Multivariable analysis was used to account for baseline variations between the two groups. All data were retrospectively gathered and analysed. The primary objective of this study was the one-year mortality rate. (3) Results: The mean aortic cross-clamping and cardiopulmonary bypass times were significantly longer in the totally endoscopic approach (cross-clamping: 43.73 ± 13.71 min and 61.93 ± 16.76 min, p-value < 0.001; CPB time: 64.86 ± 23.02 min and 93.23 ± 23.67 min, p-value < 0.001). However, perioperative bleeding was lower (706.40 ± 542.77 mL and 444.50 ± 515.84 mL, p-value < 0.001). The primary objective, one-year survival, did not significantly differ between both groups (Mini-AVR: 94.5% vs TEAVR: 93.3%, p-value = 0.520). (4) Conclusions: Our results show that totally endoscopic aortic valve replacement has comparable clinical results compared to aortic valve replacement through mini-sternotomy.

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

Cited by 3 publications

References 19 publications

Right anterior minithoracotomy with preservation of the vascular bundle for correction of congenital ventricular septal defects

Right anterior minithoracotomy with preservation of the vascular bundle for correction of congenital ventricular septal defects

Case report: Total thoracoscopic repair of sinus of Valsalva aneurysm combined with ventricular septal defect

Aortic Valve Replacement: Totally Endoscopic versus Mini-Sternotomy

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