Kết quả ngắn hạn phẫu thuật xâm lấn tối thiểu sửa chữa triệt để tứ chứng fallot qua đường ngực bên dưới hố nách phải

Our retrospective study reviewed 45 patients that were diagnosed with TOF and underwent minimally invasive surgery through RVIAI at Children City Hospital from .Tune 2020 to June 2023. Results: Mean age was 9,4 = 6.6 months, mean body weight was 7,4 ± 1,7 kg, the male/female ratio was 2,1/1. Mean size of pulmonary annulus was 9,58 ± 1,53 mm (-0.47 ± 1.04 Zscore). Central cannulation was accessed hl all patients. There were no deaths or conversions to sternotomy. verage durations of aortic cross­clamp and cardiopulmonary bypass (CPB) were 188,7 ± 50,6 min and 124,6 ± 35,8 min. respectively. During the follow-up of 5.4-32.3 months, 11.1% of these patients were found to have moderate residual pulmonary stenosis. There was no severe residual pulmonary stenosis, residual shunt, severe tricuspid regurgitation. No reoperation, no new onset of chest deformities and no sclerosis were observed during the follow-up. Conclusions: The right axillary incision allows a safe and effective approach for Tetralogy of Fallot complete repair and is a potential new standard of care for many patients.