Abstract
Introduction: Minimally invasive surgery has been a trend in modern medicine and there are no exceptions in the cardiothoracic surgery, which has been widely applied in Vietnam recently. Thong Nhat Hospital has deployed the minimally invasive cardiac surgery (MICS) for a trial septal defect (ASD) and left atrial myxoma since July 2018. Therefore we conducted this research to evaluate the result of this novel method in our hospital thus improving techniques and refining the procedures.
Subjects and methods: We retrospectively reviewed all the patients underwent video assisted MICS in Thong Nhat Hospital from July 2018 to February 2020.
Results: There had a total of 12 patients, in which 10 had an Atrial Septal Defect(ASD) and 2 had left atrial myxomal. Male/Female ratio was 1:1, mean age was 44,2 ± 4,5. All patients were intubated with double lumen endotracheal tube. Patients were put on cardiopulmonary bypass(CPB) with femoral artery cannula and bicaval cannulas achieved with right femoral vein and right internal jugular vein cannulation. Mean CPB duration was 98,6 ± 13,6 minutes (70 - 155), aortic cross-clamping duration was 44,2
± 6,8 minutes (0 - 88), there were 5 cases underwent off - pump ASD closure. 1 case had post-op hemorrhage that required reoperation, cause of hemorrhage was due to injury to the internal thoracic artery, there was no death.
Conclusions: The application of MICS in treating ASD and left atrial myxoma showed positive short and medium term results, there was no severe complications or death.
Excision of a left atrial myxoma via a minimally-invasive technique: a possible routine access
