Off-pump occlusion of trans-thoracic minimal invasive surgery (OPOTTMIS) on simple congenital heart diseases (ASD, VSD and PDA) attached consecutive 210 cases report: A single institute experience
2011

Off-pump Surgery for Simple Congenital Heart Diseases

Sample size: 210 publication Evidence: high

Author Information

Author(s): Guo Qing-kui, Lu Zhi-qian, Cheng Shao-fei, Cao Yong, Zhao Yong-hong, Zhang Cheng, Zhang Yue-li

Primary Institution: Department of Cardio-thoracic Surgery, Shanghai NO.6 People Hospital Affiliated Shanghai Jiao Tong University

Hypothesis

This paper intends to report our experiences by using an operation of off-pump occlusion of trans-thoracic minimal invasive surgery (OPOTTMIS) on the treatment of consecutive 210 patients with simple congenital heart diseases.

Conclusion

The OPOTTMIS is a safe, less complex, feasible and effective choice to selected simple CHD patients with some good advantages and favorable short term efficacies.

Supporting Evidence

  • The successful rate of the performed OPOTTMIS operation was 99.5%.
  • The mortality and complication incidence within 72 hours were 0.5% and 4.8%, respectively.
  • There were no major complications during peri-operation such as cardiac rupture, infective endocarditis, strokes, haemolysis and thrombosis.
  • Post-operation follow-up outcomes showed that there were no III° AVB, no obvious Occluder migration and device broken.

Takeaway

Doctors used a special surgery to fix heart problems in kids, and it worked really well with very few problems afterward.

Methodology

The retrospective clinical data of OPOTTMIS in our institute were collected and compared to other therapeutic measures adopted in the relevant literatures.

Limitations

The long term outcomes and influences to heart functions should be studied in the future.

Participant Demographics

The consecutive 210 simple CHD patients (96 males and 104 females) with ages ranging from 3 to 56 years.

Digital Object Identifier (DOI)

10.1186/1749-8090-6-48

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