Evaluation of Early Outcomes of Minimally Invasive Congenital Heart Surgery via Right Axillary Approach at the Heart Institute of Ho Chi Minh City

Background: At our Heart Institute, the right axillary approach has been chosen for minimally invasive cardiac surgery for congenital cardiac patients in both adults and children. Objective: we evaluate the results of minimally invasive congenital cardiac surgery via the right axillary approach at the Heart Institute of HCM City. Method: descriptive study, case series. Results: From 11/2022 to 08/2024, 123 patients with congenital heart defects underwent complete repair via the right axillary minimally invasive cardiac surgery. There were 93 ASD (75.5%), 17 VSD (13.8%), 11 partial or intermediate AVSD (8.9%) and 2 Cor Triatriatum (1.6%). Concomitant procedures included: 2 PDA ligation (1.6%), 2 pAPVD repairs (1.6%), 12 tricuspid valve repairs (9.5%), 1 mitral valve repair (0.8%), and 1 resection of subaortic stenosis (0.8 %). There was no hospital mortality, the median time of ICU stay was 1 day and the median time of hospital stay was 7 days. Conclusion: minimally invasive cardiac surgery via the right axillary approach could be applied for simple congenital heart defects safely with low morbidity.