Download - 2008. KTCS meeting
2008. KTCS meeting
Robotic ASD repair with rigid Robotic ASD repair with rigid port port
Hyung Gon Je, Jae Won Lee, Sung Ho JungHyung Gon Je, Jae Won Lee, Sung Ho Jung
Suk Jung Choo, Hyun Song, Cheol Hyun ChungSuk Jung Choo, Hyun Song, Cheol Hyun Chung
Asan Medical Center, Ulsan University, School of Medicine
Totally endoscopic ASD repair
Totally endoscopic ?
Case: F/24
Sx; resting chest pain, DOE Fc I
Echo;
Normal LV, NSR, no MR, TR +1
Secundum ASD 22 mm size with thin aortic rim, L->R shunt
Device closure was planned but nickel allergy -> op.
da Vinci ASD patch closure with rigid port assist
ASD patch closure with Gore-Tex 0.5mm patch
ACC with Chitwood clamp
Antegrade cardioplegic infusion via root cannula
Port positioning
Coordination
Totally Endoscopic ASD repair
Meta-analysis of TE-ASDR
Bonaros N, Bonatti J. - Innsbruck; 5
Argenziano M, Smith CR. – NY, Columbia; 5
Alfieri O. - Milan; 3
Moritz A, Dogan S - Frankfurt; 3
Sporadic case reports; 6
Meta-analysis of TE-ASD repair
Alfieri- Milan
- Heart Surg Forum 2002;5
(2):125
Moritz-Frankfurt
-JTCVS 2007;134:757
Bonatti-Innsbruck
–ATS 2006;82:687
Argenziano-NY
–Circulation 2003;108 sup
plII:191
N (ASD,PFO) 7 (5, 2) 24 (all ASD) 17 (14, 3) 17 (12, 5)
Direct closure 7 20 15 17
Patch closure 0 4 2 0
OP time (min) - 262.6 ± 60.6 314 (215-590) -
CPB time (min) 101.8 ± 39.6 135.2 ± 39.2 144 (91-239) 122
ACC time (min) 63.4 ± 21.9 63.6 ± 20.4 69 (41-133) 32
Vent (hr) Less than 7hr - 7hr (2-19) Night of surgery
ICU stay (hr) 23.4 ± 8 26 (15-120) 20
Hosp stay (d) 7.9 ± 1.9 8 (5-14) 4 (2.5-10)
Comment Normal life < 1wk ASD; 24.6±10
mm
Results
Op / CPB / ACC time; 320 / 228 / 109 min
Ventilation; 5hr, ICU stay ; 22hr
Hospital stay; 3 day
Post op Echo; no residual shunt
Return to work place within 1wks; CPA
Summary