Experience of repair ventricular septal defect with left superior vena cava through right axillary thoracotomy

Authors

  • Yuefeng Cao, MD Department of Pediatric Cardiac Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China
  • Qihua Peng, Ms Department of Electrodiagnosis, Changchun Obstetrics-Gynecology Hospital, Changchun, China
  • Junwu Su, MD Department of Pediatric Cardiac Center, Beijing Anzhen Hospital, Capital Medical University, Beijing, China

DOI:

https://doi.org/10.1532/hsf.4193

Keywords:

right axillary thoracotomy, ventricular septal defect, left superior vena cava

Abstract

Objective: To summarize the experience in the treatment of repair ventricular septal defect with left superior vena cava (LSVC) through right axillary thoracotomy. To explore the surgical strategy of treating VSD with LSVC through right axillary thoracotomy.

Methods: right axillary thoracotomy and median sternotomy were performed in 73 cases of ventricular septal defect with LSVC in our center from 2018 to 2019. Perioperative data and surgical information were analyzed retrospectively.

Results: There were 54 cases of R-group and 19 cases of S-group with median age of 0.8 years (0.5-1.6years). In the 73 patients, 21(38.9%) were men and 52 (61.1%) women. The operation time of R-group was shorter than S-group, p<0.05. The postoperative drainage in R-group was less than S-group, p<0.05. The mechanical ventilation time was longer in the S-group than in the R-group, p<0.05. There were no deaths, serious complications and readmission in the follow-up 6 months(3-10months).

Conclusion: Right axillary thoracotomy is a safe procedure with excellent cosmetic and clinical results for ventricular septal defect with left superior vena cava. It has the advantages of short operation time, less bleeding and short postoperative time.

References

Bosch B, Stockman A, Beelen R. 2013. Persistent Left Superior Vena Cava in Cardiac Congenital Surgery. Acta Cardiol. Dec;68(6).

Erdoğan M, Karakaş P, Uygur F. 2007. Persistent left superior vena cava: the anatomical and surgical importance. West Indian Med J. Jan;56(1).

Heinisch PP, Wildbolz M, Beck MJ. 2018. Vertical Right Axillary, et al: Mini-Thoracotomy for Correction of Ventricular Septal Defects and Complete Atrioventricular Septal Defects. Ann. Thorac. Surg. 10;106(4).

Liu Y, Zhang J, Sun HS, et al. 1998. Correction of cardiac defects through a right thoracotomy in children. Zhonghua Wai Ke Za Zhi. Jul;36(7).

Liu YL, Zhang HJ, Sun HS, et al. 2000. Repair of cardiac defects through a shorter right lateral thoracotomy in children. Ann. Thorac. Surg. Sep;70(3).

Ramos N, Fernández-Pineda L, Tamariz-Martel A. 2005. Absent right superior vena cava with left superior vena cava draining to an unroofed coronary sinus. Rev Esp Cardiol. Aug;58(8).

Right Anterolateral Thoracotomy in the Repair of Atrial Septal Defect: Effect on Breast Development.

Salve GG, Jain SA, Thakkar BM, et al. 2017. Right Posterior Thoracotomy for Open-Heart Surgery in a Rare Morphology. Ann. Thorac. Surg. Jan;103(1).

Yaliniz H, Topcuoglu MS, Gocen U, et al. 2015. Comparison between minimal right vertical infra-axillary thoracotomy and standard median sternotomy for repair of atrial septal defects. Asian J Surg. Oct;38(4).

Yang M, Su J, Liu A, et al. 2019. Correction of simple congenital heart defects by right axillary thoracotomy in adults J Card Surg. Nov;34(11).

Yoshimura N, Yamaguchi M, Oshima Y. 2001. Repair of atrial septal defect through a right posterolateral thoracotomy: a cosmetic approach for female patients Ann. Thorac. Surg. Dec;72(6).

Published

2022-02-04

How to Cite

Cao, Y., Peng, Q., & Su, J. (2022). Experience of repair ventricular septal defect with left superior vena cava through right axillary thoracotomy. The Heart Surgery Forum, 25(1), E097-E100. https://doi.org/10.1532/hsf.4193

Issue

Section

Article