[Intracardiac operations performed in beating heart through mini-thoracotomy in 34 patients].
OBJECTIVE
To introduce the technique of intracardiac operations performed in beating heart through mini-thoracotomy.


METHODS
>From March 1995 to June 1997, intracardiac operations were performed in beating heart through right subaxillary anterolateral mini-thoracotomy with normothermic extracorporeal circulation in 34 patients. 16 patients had atrial septal defect, 14 ventricular septal defect, 2 mitral insufficiency, 1 right coronary artery-right ventricular fistula, and 1 Ebstein's anomaly.


RESULTS
The mean cardiopulmonary bypass time was 22.54 minutes. There were no embolism, arrhythmia and cerebral complications. Postoperative hospital stay was 8.0 +/- 2.2 days. All the patients had no heart murmur and residual shunt, and enjoyed a full range of physical activities in a follow-up of 2 to 26 months.


CONCLUSIONS
Intracardiac operations performed in beating heart through right subaxillary anterolateral mini-thoracotomy appears to be less invasive, simple, safe and cosmetic.
Jia
Q
Q
Department of Cardiac Surgery, General Hospital of Beijing Military Region, People's Liberation Army, Beijing 100700.
Yao
J
J
Cheng
Q
Q
Lu
N
N
Niu
J
J
Zhao
X
X
Zhang
X
X
Li
W
W
D000293:Adolescent; D000328:Adult; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005112:Extracorporeal Circulation; D005260:Female; D005500:Follow-Up Studies; D006330:Heart Defects, Congenital / Q000601:surgery*; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D013908:Thoracotomy / Q000379:methods*