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Total thoracoscopic repair of ventricular septal defect: A single-center experience
  • +5
  • Kan Zhou,
  • liang yang,
  • Biao-Chuan He,
  • yingjie ke,
  • yanchen yang,
  • Qian Yan,
  • zerui chen,
  • huanlei huang
Kan Zhou
Guangdong Provincial People's Hospital
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liang yang
Guangdong Provincial People's Hospital
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Biao-Chuan He
Guangdong Cardiovascular Institute
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yingjie ke
Guangdong Provincial People's Hospital
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yanchen yang
Guangdong Provincial People's Hospital
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zerui chen
Guangdong Provincial People's Hospital
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huanlei huang
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Abstract

Objectives: To explore the safety and efficacy of total thoracoscopic repair of ventricular septal defects (VSD). We compared clinical outcomes of VSD via a total thoracoscopic approach with those of mini-sternotomy. Methods: We retrospectively reviewed clinical data from patients with VSD from 2012 to January 2019. According to the surgical pattern, they were divided into two groups: the total thoracoscopic surgery group (36 patients, 27 females, aged 29.08 ± 9.52 years), and a mini-sternotomy group (31 patients, 12 females, aged 28.39 ± 8.67 years). Results: There were no deaths in either group. In the thoracoscopic group, cardiopulmonary bypass (CPB) time and aortic cross-clamping (ACC) time were significantly longer than those of the mini-sternotomy group (CPB time: 111.78 ± 23.16 min vs 77.58 ± 37.90 min, respectively, p < 0.001; ACC time: 111.78 ± 23.16 min vs 77.58 ± 37.90 min, respectively, p < 0.001). Tracheal intubation time (6.42 ± 3.85 hours vs 28.55 ± 123.18 hours, p = 0.325), intensive care unit (ICU) stay time (20.47 ± 9.52 hours vs 49.65 ± 163.72 hours, p = 0.330), postoperative hospital stay time (5.11 ± 2.48 days vs 5.90 ± 6.27 days, p = 0.488) and chest drainage (139.86 ± 111.71 ml vs 196.13 ± 147.34 ml, p = 0.081) tended to be lower in the thoracoscopy group, although there was no significant difference. No residual shunt or tricuspid regurgitation was found at follow-up. Conclusions: Total thoracoscopic repair is safe and effective in patients with VSD, with or without tricuspid regurgitation.

Peer review status:ACCEPTED

23 Sep 2020Submitted to Journal of Cardiac Surgery
24 Sep 2020Submission Checks Completed
24 Sep 2020Assigned to Editor
23 Oct 2020Reviewer(s) Assigned
03 Nov 2020Review(s) Completed, Editorial Evaluation Pending
18 Dec 2020Editorial Decision: Revise Minor
13 Jan 20211st Revision Received
15 Jan 2021Submission Checks Completed
15 Jan 2021Assigned to Editor
29 Jan 2021Reviewer(s) Assigned
30 Jan 2021Review(s) Completed, Editorial Evaluation Pending
09 Mar 2021Editorial Decision: Accept