Evaluation of the safety and efficacy of right subaxillary small incision surgery in low-age and low-weight infants with ventricular septal defects and basal cardiac anomalies
Evaluation of the safety and efficacy of right subaxillary small incision surgery in low-age and low-weight infants with ventricular septal defects and basal cardiac anomalies
Objective:This study aims to evaluate the safety and efficacy of right subaxillary small incision surgery in low-age and low-weight infants with ventricular septal defects(VSD)accompanied by basal cardiac anomalies.Methods:The study included 126 low age and low-weight infants with congenital heart disease who underwent surgical treatment at the Pediatric Heart Center of Beijing Anzhen Hospital from March 2010 to April 2023.All subjects were diagnosed with VSD combined with basal cardiac anomalies(patent ductus arteriosus and/or persistent left superior vena cava).The patients were divided into two groups based on the surgical approach:the right subaxillary small incision group(49 cases)and the median sternotomy group(77 cases).Preoperative conditions,surgical details,perioperative outcomes,and long-term follow-up data were compared between the two groups.Results:There were no statistically significant differences in key perioperative physiological parameters between the two groups.However,the right subaxillary small incision group had shorter mechanical ventilation times,ICU stays,and hospital stays.Long-term follow-up revealed no significant differences in the rates of thoracic deformities,growth and development,and respiratory diseases between the groups.Conclusions:For experienced surgical teams,right subaxillary small incision surgery for treating low-age and low-weight infants with VSD and basal cardiac anomalies can achieve treatment outcomes similar to those of median sternotomy,with the advantages of less trauma and faster recovery.However,it should be noted that median sternotomy may be more appropriate for infants with large arterial ducts or poor pulmonary development.
关键词
先天性心脏病/右腋下小切口/低体质量/低龄/正中开胸
Key words
Congenital heart disease/Right subaxillary small incision/Low-weight/Low-age/Median sternotomy
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