JOURNAL OF SHANDONG UNIVERSITY (HEALTH SCIENCES) ›› 2012, Vol. 50 ›› Issue (2): 116-119.

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Application of mini-thoracotomy in the treatment of heart disease

MA Zhi-ling, LIU Lu-qi   

  1. Department of Cardiac Surgery, Qianfoshan Hospital Affiliated to Shandong University, Jinan 250014, China
  • Received:2011-10-20 Online:2012-02-10 Published:2012-02-10

Abstract:

Objective   To analyze the feasibility and application of mini-thoracotomy in the treatment of heart diseases. Methods   A total of 21 patients with heart disease received mini-thoracotomy approach surgery, including 6 cases of mitral valve replacement, 3 cases of mitral valvuloplasty, 2 cases of the repair of atrial septal defect, 5 cases of the repair of ventricular septal defect, 2 cases of left atrial mucus tumor enucleation, 2 cases of patent ductus arteriosis ligation, and 1 case of minimally invasive coronary artery bypass grafting. Results   The surgical outcomes were successful without  obvious complications. The cardiopulmonary bypass time, the aortic cross clamping time, the duration of postoperative mechanical ventilation and the postoperative hospital stay were (40.3±12.5)min,  (26.4±11.3)min,  (5.1±2.2)hrs, and  (7.1±3.6) days, respectively. Conclusions   Comparing to the conventional median sternotomy approach, mini-thoracotomy  is minimally invasive and can prevent the patients from postoperative sternal deformation. All the patients are satisfied with the quick recovery and excellent cosmetic effect.

Key words: Minimally invasive; Open heart surgery; Cardiac Surgery

CLC Number: 

  • R654.2
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