Early outcomes of surgical treatment for patent ductus arteriosus combined with intracardiac abnormity via right vertical infra-axillary thoracotomy_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

SHAO Jun , LI Xiaobo , ZHANG Xun , FU Chao ,  LI Qingguo

Department of Cardiovascular Surgery, The Second Affiliated Hospital of Nanjing Medical University, Nanjing, 210011, P.R.China;

Corresponding author：

LI Qingguo, Email: lqg0235062@163.com

Keywords：

Right vertical infra-axillary thoracotomy; surgical repair; patent ductus arteriosus; intracardiac abnormity; treatment

DOI：

10.7507/1007-4848.202001060

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Objective To explore the early outcomes of the surgical treatment for patent ductus arteriosus (PDA) combined with intracardiac abnormities via right vertical infra-axillary thoracotomy (RVIAT).Methods A total of 7 children with PDA combined with intracardiac defects underwent surgery through RVIAT at the Second Affiliated Hospital of Nanjing Medical University from 2016 to 2018. There were 4 males and 3 females, with an average age of 5.3±4.5 years and weight of 18.0±11.2 kg.Results In all patients, PDA was ligated before the repair of intracardiac abnormities. No patient died in hospital. All patients were followed up, with a mean follow-up time of 18.0±8.0 months. No other complications such as residual shunts, arrhythmias, hemorrhaging or wound infection occurred after operations or during the follow-up period.Conclusion RVIAT is an emerging technique used for the surgical repair of PDA combined with intracardiac defects. It yields satisfying cosmetic results, without increasing postoperative complications or mortality.

Citation： SHAO Jun, LI Xiaobo, ZHANG Xun, FU Chao, LI Qingguo. Early outcomes of surgical treatment for patent ductus arteriosus combined with intracardiac abnormity via right vertical infra-axillary thoracotomy. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(8): 922-925. doi: 10.7507/1007-4848.202001060 Copy

1.	中国医师协会心血管内科分会先心病工作委员会. 常见先天性心脏病介入治疗中国专家共识三—动脉导管未闭的介入治疗. 介入放射学杂志, 2011, 20(3): 172-176.
2.	莫绪明, 谷兴琳, 戴约, 等. 儿童动脉导管未闭合并心内畸形的外科治疗. 江苏医药, 2003, 29(8): 607-609.
3.	Mohamed KS. Minimally invasive right posterior mini-thoracotomy for open-heart procedures. Asian Cardiovasc Thorac Ann, 2007, 15(6): 468-471.
4.	Li QG, Wang Q, Wang DJ. The right vertical infra-axillary incision for mitral valve replacement. J Cardiothorac Surg, 2010, 7(5): 104.
5.	Yang X, Wang D, Wu Q. Repair of atrial septal defect through a minimal right vertical infra-axillary thoracotomy in a beating heart. Ann Thorac Surg, 2001, 71(6): 2053-2054.
6.	Wang Q, Li QG, Zhang J, et al. Ventricular septal defects closure using a minimal right vertical infraaxillary thoracotomy: seven-year experience in 274 patients. Ann Thorac Surg, 2010, 89(2): 552-555.
7.	Wang Q, Ye JX, Ge M, et al. Early- and long-term outcomes of cardiovascular surgery via minimal right vertical infra-axillary thoracotomy: A 15-year study of 1126 patients. Sci Rep, 2018, 8(1): 4376.
8.	Gross RE, Hubbard JP. Surgical ligation of patent ductus arteriosus. Report of first successful case. JAMA, 1984, 251(9): 1201-1202.
9.	Kang SL, Morgan G, Forsey J, et al. Long-term clinical experience with Amplatzer Ductal OccluderⅡfor closure of the persistent arterial duct in children. Catheter Cardiovasc Interv, 2014, 83(7): 1102-1108.
10.	Porstmann W, Wierny L, Warnke H. Closure of persistent ductus arteriosus without thoracotomy. Ger Med Mon, 1967, 12(6): 259-261.
11.	Ghasemi A, Pandya S, Reddy SV, et al. Trans-catheter closure of patent ductus arteriosus-What is the best device? Catheter Cardiovasc Interv, 2010, 76(5): 687-695.
12.	Xu XD, Bai Y, Chen XL, et al. Simultaneous transcatheter treatment of perimembranous ventricular septal defect and other congenital cardiopathies. Heart Lung Circ, 2014, 23(12): 1169-1174.
13.	An G, Zhang H, Zheng S, et al. Minimally invasive surgical closure for doubly committed subarterial ventricular septal defects through a right subaxillary thoracotomy. Interact Cardiovasc Thorac Surg, 2016, 23(6): 924-928.

1. 中国医师协会心血管内科分会先心病工作委员会. 常见先天性心脏病介入治疗中国专家共识三—动脉导管未闭的介入治疗. 介入放射学杂志, 2011, 20(3): 172-176.
2. 莫绪明, 谷兴琳, 戴约, 等. 儿童动脉导管未闭合并心内畸形的外科治疗. 江苏医药, 2003, 29(8): 607-609.
3. Mohamed KS. Minimally invasive right posterior mini-thoracotomy for open-heart procedures. Asian Cardiovasc Thorac Ann, 2007, 15(6): 468-471.
4. Li QG, Wang Q, Wang DJ. The right vertical infra-axillary incision for mitral valve replacement. J Cardiothorac Surg, 2010, 7(5): 104.
5. Yang X, Wang D, Wu Q. Repair of atrial septal defect through a minimal right vertical infra-axillary thoracotomy in a beating heart. Ann Thorac Surg, 2001, 71(6): 2053-2054.
6. Wang Q, Li QG, Zhang J, et al. Ventricular septal defects closure using a minimal right vertical infraaxillary thoracotomy: seven-year experience in 274 patients. Ann Thorac Surg, 2010, 89(2): 552-555.
7. Wang Q, Ye JX, Ge M, et al. Early- and long-term outcomes of cardiovascular surgery via minimal right vertical infra-axillary thoracotomy: A 15-year study of 1126 patients. Sci Rep, 2018, 8(1): 4376.
8. Gross RE, Hubbard JP. Surgical ligation of patent ductus arteriosus. Report of first successful case. JAMA, 1984, 251(9): 1201-1202.
9. Kang SL, Morgan G, Forsey J, et al. Long-term clinical experience with Amplatzer Ductal OccluderⅡfor closure of the persistent arterial duct in children. Catheter Cardiovasc Interv, 2014, 83(7): 1102-1108.
10. Porstmann W, Wierny L, Warnke H. Closure of persistent ductus arteriosus without thoracotomy. Ger Med Mon, 1967, 12(6): 259-261.
11. Ghasemi A, Pandya S, Reddy SV, et al. Trans-catheter closure of patent ductus arteriosus-What is the best device? Catheter Cardiovasc Interv, 2010, 76(5): 687-695.
12. Xu XD, Bai Y, Chen XL, et al. Simultaneous transcatheter treatment of perimembranous ventricular septal defect and other congenital cardiopathies. Heart Lung Circ, 2014, 23(12): 1169-1174.
13. An G, Zhang H, Zheng S, et al. Minimally invasive surgical closure for doubly committed subarterial ventricular septal defects through a right subaxillary thoracotomy. Interact Cardiovasc Thorac Surg, 2016, 23(6): 924-928.

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Early outcomes of surgical treatment for patent ductus arteriosus combined with intracardiac abnormity via right vertical infra-axillary thoracotomy

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