Result of minimally invasive cardiac surgery in Thong Nhat Hospital

2020 ◽  
Vol 10 (4) ◽  
Author(s):  
Kim Que Do ◽  
Keyword(s):  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Left Atrial ◽  
Septal Defect ◽  
Femoral Vein ◽  
Atrial Myxoma ◽  
Minimally Invasive Cardiac Surgery ◽  
Female Ratio ◽  
Off Pump ◽  
Left Atrial Myxoma

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.

scholarly journals Outcomes of atrial septal defect closure and atrial myxoma resection by video assisted minimally invasive via right minithoracotomy

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Kim Quế Đỗ ◽  
Keyword(s):  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Left Atrial ◽  
Septal Defect ◽  
Vena Cava ◽  
Minimal Invasive ◽  
Atrial Myxoma ◽  
Left Atrial Myxoma ◽  
Video Assisted ◽  
Asd Closure

Tóm tắt Đặt vấn đề: Phẫu thuật ít xâm lấn là xu hướng chung của y học hiện đại. Phẫu thuật tim ít xâm lấn cũng đã được triển khai mạnh mẽ gần đây ở nước ta. Bệnh viện Thống Nhất bắt đầu triển khai phẫu thuật tim hở ít xâm lấn từ năm 2018, nhằm mục tiêu đánh giá kết quả của phẫu thuật tim ít xâm lấn qua đường mở ngực phải nhỏ, được nội soi lồng ngực hỗ trợ và rút ra những kinh nghiệm trong thời gian gần đây chúng tôi thực hiện nghiên cứu này. Phương pháp nghiên cứu: Hồi cứu mô tả loạt ca các người bệnh được phẫu thuật ít xâm lấn qua đường mở ngực phải nhỏ có nội soi lồng ngực hỗ trợ tại Bệnh viện Thống Nhất từ tháng 7/2018 đến tháng 02/2020. Kết quả: Có 12 trường hợp phẫu thuật tim ít xâm lấn, trong đó có 10 trường hợp đóng lỗ thông liên nhĩ và 2 trường hợp cắt u nhầy nhĩ trái, tuổi trung bình 44,2±4,5 tuổi. Tỷ lệ nam/nữ là 1:1. Cả 12 người bệnh đều được gây mê nội khí quản với ống thông 2 nòng vào phế quản chọn lọc. Chạy tuần hoàn ngoài cơ thể qua canuyn động mạch đùi, 2 canuyn tĩnh mạch chủ trên và chủ dưới riêng được luồn từ tĩnh mạch đùi phải và tĩnh mạch cảnh trong phải. Thời gian chạy tuần hoàn cơ thể trung bình là 98,6 ± 13,6 phút (70 – 155). Thời gian kẹp động mạch chủ là 44,2 ± 6,8 phút (0 – 88), có 05 trường hợp đóng lỗ thông liên nhĩ tim đập. Không tử vong, một trường hợp chảy máu sau mổ do tổn thương động mạch ngực trong phải mổ lại. Kết luận: Phẫu thuật đóng lỗ thông liên nhĩ và cắt bỏ u nhầy nhĩ trái ít xâm lấn bằng đường mở ngực nhỏ có nội soi lồng ngực hỗ trợ có kết quả sớm và trung hạn tốt, không có tử vong và biến chứng nặng Abstract Introduction: Minimal invasive surgery is a general trend in modern medicine, also Minimal invasive cardiac surgery (MICS) has been developing significantly in Vietnam in last years. We have started MICS for Atrial Septal Defect (ASD) closure and resection left atrial myxoma since July 2018 in Thong Nhat Hospital. The aim of study is to assess the results of MICS via right minithoracotomy associated with Video-assisted Thoracotomy (VATs) for experience in our hospital. Materials and Methods: Retrospective study of patients who underwent MICS via right minithoracotomy associated with VATs in Thong Nhat Hospital from 7/2018 to 2/2020. Results: There are 12 patients underwent MICS including 10 ASD closure and 02 resection of left atrial myxoma. Mean age was 44.2 ± 4.5. Male and female ratio was 1:1. All patients were intubate with selective bronchial tube. CPB (Cardiopulmonary bypass) with separated IVC (Inferior Vena Cava) and SVC (Superior Vena Cava) canulae installed from femoral vein and internal jugular vein. Mean CPB time was 98.6 ± 13.6 minutes (range 70 - 155). Mean cross aortic clamp time was 44,2 ± 6,8 minutes (range 0 - 88), beating heart ASD closure in 05 cases. No mortality was observed in this series, one bleeding complication due to interior thoracic artery injured and was re-operated. Conclusion: MICS for closure ASD and resection of left atrial myxoma via minithoracotomy associated with VATs is safe and effective in short and middle follow up without severe morbidity and mortality. Keywords: Minimally invasive cardiac surgery; right minithoracotomy; video - assisted thoracotomy

68-year-old woman with paroxysmal atrial fibrillation

Heart ◽  
2018 ◽  
pp. heartjnl-2018-314143
Author(s):  
Eftihia Sbarouni ◽  
Nektarios Kogerakis ◽  
George Stavridis
Keyword(s):  
Atrial Fibrillation ◽  
Paroxysmal Atrial Fibrillation ◽  
Mitral Stenosis ◽  
Left Atrial ◽  
Septal Defect ◽  
Left Atrial Appendage ◽  
Atrial Myxoma ◽  
List Type ◽  
Left Atrial Myxoma ◽  
Left Atrial Appendage Aneurysm

QuestionWhat is the most likely diagnosis?Mitral stenosis.Pericardial cyst.Left atrial appendage aneurysm.Left atrial myxoma.Atrial septal defect.

Minimally Invasive Approach for Left Atrial Myxoma

1998 ◽  
Vol 6 (4) ◽  
pp. 313-315 ◽  
Author(s):  
Edwin Ravikumar ◽  
Rajiv Kumar ◽  
Birudugadda Raju Babu ◽  
Sara Thomas ◽  
Sunil Thomas Chandy
Keyword(s):  
Minimally Invasive ◽  
Left Atrial ◽  
Atrial Myxoma ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Left Atrial Myxoma

scholarly journals Comparison of Cardiopulmonary Exercise Capacity in Patients with Atrial Septal Defect Treated with Minimally Invasive Cardiac Surgery or Transcatheter Closure

2020 ◽  
Vol 25 (8) ◽  
pp. 3879
Author(s):  
Hicaz Zencirkiran Agus ◽  
Serkan Kahraman ◽  
Mehmet Erturk ◽  
Burak Onan ◽  
Ali Kemal Kalkan ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Atrial Septal Defect ◽  
Exercise Capacity ◽  
Septal Defect ◽  
Transcatheter Closure ◽  
Minimally Invasive Cardiac Surgery ◽  
Cardiopulmonary Exercise ◽  
Cardiopulmonary Exercise Capacity ◽  
Asd Closure

Aim. The main aim of our study was to compare the results of transcatheter atrial septal defect (ASD) closure versus minimally invasive cardiac surgery (MICS) focusing on cardiopulmonary exercise capacity and echocardiographic findings preoperatively and 1 month after defect closure.Material and methods. 54 patients with ASD and finally 43 patients who were followed up were included in the study. 21 patients were in MICS (robotic or endoscopic approach) and 22 patients were in transcatheter closure arm. All patients investigated in detail by transesophageal echocardiography and underwent cardiopulmonary exercise test (CPET). At the end of first month, CPET and transthorasic echocardiography were reperformed.Results. There was significant improvement of physical capacity after 1 month following the transcatheter closure procedure documented by exercise time and VO 2 max. Tricuspid annular plane systolic excursion (TAPSE) and tricuspid lateral annular systolic velocity (Tri S) were not changed. In surgery group right heart diameters declined significantly; but VO 2 max, TAPSE and Tri S significantly decreased.Conclusion. Cardiopulmonary exercise function is increased in transcatheter closure group 1 month after closure and contrary not in MICS group. This may be caused by long recovery time of the right ventricle after surgery. Device closure of ASD is preferable to surgical closure if the anatomy is suitable. However, MICS for ASD closure is safe, with short recovery period and less scarring.

scholarly journals LEFT ATRIAL MYXOMA ASSOCIATED WITH AN ATRIAL SEPTAL DEFECT

1963 ◽  
Vol 45 (4) ◽  
pp. 490-495 ◽  
Author(s):  
James R. Malm ◽  
Frederick O. Bowman ◽  
John B. Henry
Keyword(s):  
Atrial Septal Defect ◽  
Left Atrial ◽  
Septal Defect ◽  
Atrial Myxoma ◽  
Left Atrial Myxoma

scholarly journals Peripheral vascular complications following totally endoscopic cardiac surgery

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Ling-chen Huang ◽  
Qi-chen Xu ◽  
Dao-zhong Chen ◽  
Xiao-fu Dai ◽  
Liang-wan Chen
Keyword(s):  
Cardiac Surgery ◽  
Cardiopulmonary Bypass ◽  
Minimally Invasive ◽  
Femoral Artery ◽  
Femoral Vein ◽  
Vascular Complications ◽  
Minimally Invasive Cardiac Surgery ◽  
Venous Cannulation ◽  
Artery Cannulation ◽  
Short Period

Abstract Background Clinical application of minimally invasive cardiac surgery has increased annually. Cardiopulmonary bypass is established by peripheral cannulation during minimally invasive cardiac surgery. The methodology of peripheral cannulation has unique characteristics, which have associated risks and complications. Few studies have been conducted on this topic. In this study, we focused on complications of peripheral cannulation in totally endoscopic cardiac surgery. Methods Patients who underwent totally endoscopic cardiac surgery with cardiopulmonary bypass established by peripheral cannulation at our institution between January 2019 and June 2020 were reviewed. Specific cannulation strategies and related cannulation complications were noted. Results One hundred forty-eight patients underwent totally endoscopic cardiac surgery. One hundred forty-eight cannulations were performed in the femoral artery and vein, and eleven were performed in the internal jugular vein (combined with the femoral vein). The median size of the femoral artery cannula was 22Fr, and that of the venous canula was 24Fr. One patient died of retroperitoneal haematoma due to femoral artery injury. Three patients had postoperative lower limb oedema. One patient had a postoperative diagnosis of femoral vein thrombosis. Conclusions Different from cannulation in patients with aortic dissection and aneurysms, femoral artery cannulation is safe in totally endoscopic cardiac surgery. Venous cannulation is characterized by a large-bore venous cannula and a short period of use. There are few reports about complications of venous cannulation. The main complication in this study was mechanical injury, and the key to preventing this injury is meticulous manipulation during surgery.

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