Applying The Transthoracic Noninvasive Closure Of Congential Heart Diseases And Nuss Operation Simultaneouly

Objective To investigate the method and feasibility concerning pectus excavatum combined congenital heart disease, which we make use of the transthoracic noninvasive closure of congential heart diseases and Nuss operation simultaneously.Methods In our statistics, we received 305children with a diagnosis of pectus excavatum and 2798 children diagnosed congenital heart disease, who had been admitted to our hospital from July 2006 to June 2010. Fifteen children affected pectus excavatum with congenital heart disease, which took up 0.53% in congenital heart disease and 4.92% in pectus excavatum. Six patients adopted the transthoracic noninvasive closure (Four cases underwent VSD transthoracic umbrella closure surgery, Two cases underwent ASD transthoracic umbrella closure surgery). We generally gave analgesia, maintained circulation stabilization and encouraged children to cough and reinforce the nurse of respiratory tract. Three or four days later stared to walk and took orally aspirin 3-5mg/kg for 3-6 months to anticoagulation conventionally. We all placed one pericardial drainage tube after surgery.Results All the children ocluded successfully, without seeing obvious diversion by TEE and obvious aortic regurgitation. Nuss process went smoothly and ameliorated sternal uptake sag obviously. The whole surgery received a satisfactory effect. We removed tracheal intubation 5-14h after operation,8.75±2.59h on average. And after 48-72h, removing pericardial mediastinum or chest tube. All the patients did not take place massive haemorrhage, thoracic viscera injury, fixed sub-shift and umbrella slice fell off, excepting the only one case appearing respiratory infection.5-7 days later, all patients smoothly leave hospital. For 3 months following up, no significant abnormality among all the patients.Conclusion The method concerning pectus excavatum combined congenital heart disease, which we the transthoracic noninvasive closure of congential heart diseases and Nuss operation simultaneously is safe and feasible. What's more, the surgical trauma is small and avoid the difficulties and risks brought about by the second surgery.