右腋下微创切口心脏不停跳治疗心脏间隔缺损45例的体会

Treatment of Interatrial or Ventricular Septal Defect Through a Minimally Incision at Right Armpit With Beating Heart: A Report Of 45 Cases

目的 探讨右腋下微创切口心脏不停跳治疗心脏房、室间隔缺损的疗效。方法 本组 45例均采用右腋下微创切口结合心脏不停跳技术。结果 全组死亡 1例 ,II度房室传导阻滞 1例 ,术后残余漏 2例 ,其余病人恢复良好。结论 采用右腋下微创切口心脏不停跳技术 ,手术切口小 ,恢复快 ,有较好的美学效果 ,适用简单心内直视手术。

Objective To investigate the treatment of interatrial septal defect (ASD) and ventricular septal defect (VSD) through a minimally incision at right armpit with beating heart. Methods Forty-five patients with ASD or VSD received repairing operation through a minimally incision at right armpit with beating heart. Results 1 case died. 1 case appeared Ⅱ degree atrioventricular block. Residual shunt appeared in 2 cases. Other cases recovered well. Conclusions Repair operation of ASD and VSD through a minimally incision at right armpit with beating heart has small wound, quickly recovery. It is suitable for simple open heart surgery.