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AZJCVS 2023;4(4):1-5
DOI: 10.5455/azjcvs.2022.12.025
1
Original Article
Received: 17 December, 2022
Accepted: 27 March, 2023
Published: 31 March, 2023
Corresponding Author:
Azerbeijan
Email: greensurgeon09@gmail.com
INTRODUCTION
there’s been a lot of advances in the thoracoscopic and robotic
to be the preferred method for ASD repair, minimal invasive
methods.
MATERIAL AND METHODS
Patients
Comparison between minimal invasive
thoracotomy and standard median
sternotomy for repair of atrial septal
defects
Abstract
Aim:
Material and Methods:
Results:
aortic dissection or leg ischemia.
Conclusion:
atrial septal defects due to its favorable cosmetic results and a more rapid patient
Keywords:
Azerbeijan
CITATION
Copyright@Author(s) - Available online at www.azjcvs.org
Content of this journal is licensed under a Creative Commons Attribution-NonCommercial
4.0 International License.
© 2023 Azerbaijan Cardiovascular Surgery Society. All rights reserved.
AZJCVS 2023;4(4):1-5
DOI: 10.5455/azjcvs.2022.12.025
2
evaluated as per demographic features such as gender and sex,
and time till discharge from the hospital.
Surgical technique
Figure 1.
Figure 2.
Statistical Analysis
into account. Standard deviation, median, percentage values
AZJCVS 2023;4(4):1-5
DOI: 10.5455/azjcvs.2022.12.025
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in the table 1.
Table 1. Preoperative characteristics of the patient
Group 1 (n=94) Group 2 (n=72) P value
Sex
Female 0.11
Male
Age (yr) ±14.78 29.97±3.84 0.609
ASD size (mm) 16.41 0.113
Table 2. Intra-operative details
Variable Group 1 (n=94)Group 2 (n=72) P value
Cardiopulmonary bypass
time (min) 39.43±9.2 48.83±14.6
Cross clamp time
(min) 20.7±7.2 0.41
Total operation time (min) 121±13.7 0.12
ASD closure
(direct/patch) 0.08
duration, time spent in intensive care, blood product transfusion
Table 3. Postoperative details
Variable Group 1 (n=94)Group 2 (n=72)P value
Postoperative drainage
(rst 24 hour) ml 284±81.98 0.049
Mechanical ventilation
time (hr) 0.20
Intensive care unit (day) 1.27±0.8 1±0.0 0.17
Blood product requirement 0.34
Inotropic support 0.01
Hospital length of stay
(day) 4.93±1.07 0.6
Residual defect 0 0
Mortality 0 0
Pain requiring post operative analgesics
VAS (visual analogue score) has been used to evaluate
Table 4. Pain requiring analgesics
AZJCVS 2023;4(4):1-5
DOI: 10.5455/azjcvs.2022.12.025
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Complications
Table 5. Complications
Variable Group 1 (n=94)Group 2 (n=72)P value
Reoperation for bleeding 00
Neurological complications 00
Atrial brillation 2
Wound infection 0 0
Complication of femoral
cannulation 0
Arrhythmia 3 2 0.08
Athelectasia 2 3 0.11
Conversion to sternotomy 0
Seroma
DISCUSSION
amount of drainage (3). Among the studies in the literature,
amount of drainage and need for blood product transfusions.
minimal invasive cardiac procedures. Rapid mobilization and
consistent results in ASD repair, and high patient satisfaction,
AZJCVS 2023;4(4):1-5
DOI: 10.5455/azjcvs.2022.12.025
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CONCLUSION
to the adaptation of technological advances to surgical methods,
Conict of Interests:
Financial Disclosure:
Ethics committee approval:
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