초록접수 현황
| 20F-187 | 구연 발표 |
Efficacy of Thoracoscopic Closure of Atrial Septal Defects with Post-operative Pericardial Effusions; A single-center experience
Min Jung Ku, Ji-Hyuk Yang, Tae-Gook Jun
Department of Thoracic and Cardiovascular surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
Purpose : Pericardial effusion (PE) is a common finding in patients who had undergone cardiac surgery. The thoracoscopic technique is a minimally invasive surgical option for patients with PE. There is no publish data regarding the outcomes of minimal invasive cardiac surgery for post-operative PE.
Methods : This is a retrospective analysis of the relative perioperative and postoperative data of 216 patients who underwent surgical repair for ASD with two different techniques in our hospital from January 2006 to June 2020. We compared the post-operative PE rates of surgical repair via median sternotomy (N=137) versus video-assisted thoracoscopic surgery (VATS, N=79)) for atrial septal defect (ASD).
Results : There were no early deaths in either group. There were converted to a open sternotomy cases because of the severe pleural adhesion. The cardiopulmonary bypass time (53.32 ± 16.20 vs 160.46 ± 44.66, P =<.001) were longer in the VATS group patients, but they had small incidence (N=38, 27% vs N=2, 2.5%, P =<.001) of postoperative pericardial effusion and it resolved spontaneously without any invasive intervention.
Conclusion : The use of VATS for ASD closure provides not only superior cosmetic results, but also reduces post-operative pericardial effusion rates compared to median sternotomy.
Methods : This is a retrospective analysis of the relative perioperative and postoperative data of 216 patients who underwent surgical repair for ASD with two different techniques in our hospital from January 2006 to June 2020. We compared the post-operative PE rates of surgical repair via median sternotomy (N=137) versus video-assisted thoracoscopic surgery (VATS, N=79)) for atrial septal defect (ASD).
Results : There were no early deaths in either group. There were converted to a open sternotomy cases because of the severe pleural adhesion. The cardiopulmonary bypass time (53.32 ± 16.20 vs 160.46 ± 44.66, P =<.001) were longer in the VATS group patients, but they had small incidence (N=38, 27% vs N=2, 2.5%, P =<.001) of postoperative pericardial effusion and it resolved spontaneously without any invasive intervention.
Conclusion : The use of VATS for ASD closure provides not only superior cosmetic results, but also reduces post-operative pericardial effusion rates compared to median sternotomy.
책임저자: Ji-Hyuk Yang
Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University school of Medicine, Seoul, Republic of Korea
발표자: Min Jung Ku, E-mail : mj99cha@hanmail.net