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Totally thoracoscopic closure of ventricular septal defect without a robotically assisted surgical system: A summary of 119 cases
Objectives To summarize the clinical outcomes of totally thoracoscopic closure of a ventricular septal defect (VSD). Methods Totally thoracoscopic VSD closure was performed in 119 patients (66 boys; mean age, 7.1 ± 3.6 years). An additional 35 patients undergoing open-chest VSD closure were selected...
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Published in: | The Journal of thoracic and cardiovascular surgery 2014-03, Vol.147 (3), p.863-868 |
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Main Authors: | , , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | Objectives To summarize the clinical outcomes of totally thoracoscopic closure of a ventricular septal defect (VSD). Methods Totally thoracoscopic VSD closure was performed in 119 patients (66 boys; mean age, 7.1 ± 3.6 years). An additional 35 patients undergoing open-chest VSD closure were selected as a control group. Using 3 port incisions in the right chest, pericardiotomy, bicaval occlusion, atriotomy, and VSD closure were performed by thoracoscopy without the aid of a robotically assisted surgical system. Results Cardiopulmonary bypass and aortic crossclamp times were 42.2 ± 9.8 and 32.5 ± 7.3 minutes, respectively. There were no deaths but 1 patient required insertion of a permanent pacemaker as a result of postoperative atrioventricular conduction block. The length of stay in the intensive care unit (11.0 ± 2.6 vs 22.9 ± 4.9 hours, P |
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ISSN: | 0022-5223 1097-685X |
DOI: | 10.1016/j.jtcvs.2013.10.065 |