Hybrid versus traditional method closure of ventricular septal defects in children

• Published in: JTCVS techniques 2024-04, Vol.24, p.137-144
• Main Authors: Adilbekova, Akkerbez, Marassulov, Shukhrat, Baigenzhin, Abay, Kozhakhmetov, Saken, Nurkeyev, Bakhytzhan, Kerimkulov, Amangeldy, Murzabayeva, Saniya, Maiorov, Rinat, Kenzhebayeva, Arailym
• Format: Article
• Language: English
• Subjects: Congenital: Atrioventricular Septal Defects; hybrid method; Kazakhstan; minimally invasive; surgery; ventricular septal defect
• ISSN: 2666-2507; 2666-2507
• DOI: 10.1016/j.xjtc.2024.01.015

The aim of our study was to evaluate the safety and effectiveness of the hybrid method off-pump for closure of isolated ventricular septal defect (VSD) compared with the traditional method of on-pump of children. This research was a retrospective cohort study. Data were collected from 500 patients with isolated VSD (or residual VSD after a previous repair) who underwent surgery at the National Scientific Medical Center from May 2016 to December 2020. Patients were operated with 1 of 2 methods of surgery: the traditional method of on-pump or the hybrid method of off-pump. This study assessed the safety and efficacy of the hybrid method by comparing it with the traditional method for the treatment of patients with isolated VSD. The procedural success rate reached 93.2% in the hybrid method, with a 6.4% conversion rate to the traditional method and 0.4% hospital mortality. The mean operation time was 84 minutes (31; 160 minutes) in the hybrid group (n = 250) and 168 minutes (70; 300 minutes) in the traditional group (n = 250) (P = .000). Hospital mortality was 0.43% in the first group and 1.5% in the second group (P = .000). The hybrid method of VSD closure is safe and effective in a selected group of patients. The advantages of the hybrid method are improved cosmetics and shorter operation time and overall hospital stay.