Atrial Septal Defect Closure by Anterior Mini Thoracotomy with Total Peripheral Cannulation: A Step towards Establishing Mini Invasive Cardiac Surgery in a Developing Nation

• 作者: Bhagawan Koirala
• 来源期刊: 心血管外科国际期刊(英文)
• 学科: 数学
• 关键词: Atrial Septal Defect Mini Thoracotomy Total Peripheral Cannulation
• 年，卷（期）: 2020,（10）
• 页码范围: 192-199
• 页数: 8页
• 分类号: O17

摘要

<strong>Background:</strong> <span style="font-family:;" "=""><span style="font-family:Verdana;">Atrial Septal Defect (ASD) closure is a common cardiac surgical procedure performed worldwide. Due to favourable clinical outcome, minimal invasive approach is becoming popular. Hence this study was conducted to compare the outcome of two surgical approaches, median sternotomy and mini thoracotomy with total peripheral cannulation, in a developing country Nepal.</span><b><span style="font-family:Verdana;"> Methods: </span></b><span style="font-family:Verdana;">A prospective study of 62 ASD patients, randomized to undergo surgical closure either via right anterior mini thoracotomy or median sternotomy was conducted and followed up over three years. The clinical outcome parameters like intensive care unit stay, hospital stay, post-operative duration of ventilation, cardiopulmonary bypass time, aortic cross clamp time, mediastinal drainage, size of scar and complication were compared between two groups. </span><b><span style="font-family:Verdana;">Results: </span></b><span style="font-family:Verdana;">Cardiopulmonary bypass time and aortic cross clamp time were significantly longer in right anterior mini thoracotomy group as compared to median sternotomy group (43.97</span></span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">min ± 12.70</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">min vs 34.42</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">min ± 10.42</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">min and 25.13</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">min </span><span style="font-family:Verdana;">±</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">7.82</span><span style="font-family:;" "=""> </span><span style="font-family:Verdana;">min vs 19.48</span><span style="font-family:;" "=""> </span><span style="font-fa