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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Wertheim cung cấp cho các bạn kiến thức về ngành y đề tài: 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. | Guo et al. Journal of Cardiothoracic Surgery 2011 6 48 http www.cardiothoracicsurgery.Org content 6 1 48 JCTS JOURNAL OF CARDIOTHORACIC SURGERY RESEARCH ARTICLE Open Access 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 Qing-kui Guo Zhi-qian Lu Shao-fei Cheng Yong Cao Yong-hong Zhao Cheng Zhang and Yue-li Zhang Abstract Objective This paper intends to report our experiences by using an operation of off-pump occlusion of transthoracic minimal invasive surgery OPOTTMIS on the treatment of consecutive 210 patients with simple congenital heart diseases CHD including atrial septal defect ASD ventricular septal defect VSD and patent ductus arteriosus PDA . Methods The retrospective clinical data of OPOTTMIS in our institute were collected and compared to other therapeutic measures adopted in the relevant literatures. After operation all the patients received electrocardiography ECG and echocardiography echo once a month within the initial 3 months and no less than once every 3 6 months later. Results 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 perioperation such as cardiac rupture infective endocarditis strokes haemolysis and thrombosis. The post-operation follow-up outcomes by ECG and echo checks of 3 months to 5 years showed that there were no III AVB no obvious Occluder migration and device broken and no moderate cardiac valve regurgitation except 1 VSD and 1 PDA with mild residual shunts and 2 PDA with heart expansion after operation. However all the patients heart functions were in class I II according to NYH standard. 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 .
