Mid-Term Outcome of the Hybrid Method of Ventricular Septal Defect Closure in Children

Akkerbez A. Bakhytzhan N. Shukhrat M. Saken K.
2024 National Scientific Medical Center

Journal of Clinical Medicine of Kazakhstan
2024 #21 Issue 2 66 - 72 pp.

Objective: To describe the clinical experiences and mid-term follow-up results of the hybrid method of ventricular septal defect closure in children. Methods: This study was a combined-multidirectional cohort. Between May 2016 and December 2020, 250 patients with isolated VSD (or residual VSD after a previous repair) underwent surgery by the hybrid method at the pediatric cardiac surgery department in the National Scientific Medical Center. This study adopted a combined and multidirectional cohort approach, initially starting as a retrospective cohort and later transitioning into a prospective cohort. Results: A total of 250 patients in this cohort underwent hybrid VSD closure, of which 233 (93.2%) patients were successful, 16 (6.4%) patients were converted to the traditional method and 1 (0.4%) death occurred. New trivial or mild tricuspid regurgitation was detected in 35 patients (15%) and aortic regurgitation in 9 patients (3.9%) by intraoperative TEE. For the remaining 10 patients with incomplete right bundle branch blocks the sinus rhythm was restored in follow-up. In addition, the left ventricular ejection f raction improved over time. One of the important points after surgery is the deformation of the chest. In 122 (91%) patients, there is no deformation; unfortunately, in 12 (9%) patients, there is deformation. Conclusions: The hybrid method is a rapidly developing technique that has been safe and effective in a selected group of patients in recent years. The advantages of this method are minimum incision namely the size and length of the postoperative scar f rom 2 to 4 cm. Also, no myocardial injury, and reduces operation time, intensive care unit stay, and hospital stays.

congenital heart disease , hybrid method , Kazakhstan , ventricular septal defect

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Pediatric Cardiac Surgery Department, National Scientific Medical Center, Astana, Kazakhstan
Department of Surgical Diseases with courses in cardiothoracic surgery and maxillofacial surgery, Аstana Medical University, Astana, Kazakhstan

Pediatric Cardiac Surgery Department
Department of Surgical Diseases with courses in cardiothoracic surgery and maxillofacial surgery

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