Title : Application of minimally invasive surgical techniques in pericardial and macrovascular diseases associated with infectious diseases
Abstract:
Objective: Infectious diseases are still a serious public health problem in the world. Millions of people die from infectious diseases every year, and cardiovascular events account for a very important proportion. Through the treatment of infectious diseases (tuberculosis) in our department in recent years. The application results of minimally invasive surgical techniques related to constricted tuberculous pericarditis, false aneurysms involving the aortic arch and pulmonary embolism were demonstrated, providing innovative thinking and technology promotion to global peers, allowing more colleagues to participate, and avoiding the loss of treatment for some patients.
Methods: In the past 5 years, 2 cases of tuberculosis infection involving active arch and 1 case of false aneurysm of thoracic aorta were treated in our department by endovascular repair + vascular bypass hybrid technique. The treatment effect of thoracoscopic thrombus removal in 1 case of left pulmonary artery thrombosis associated with the COVID-19 Pandemicnovel complicated with pneumothorax and 15 cases of thoracoscopic constrictive tuberculous pericarditis pericardiectomy were evaluated.
Results: All the tuberculous pseudoaneurysms involving the aortic arch and thoracic aorta were successfully cured. After removal of pulmonary artery thrombosis, vascular recanalization, respiratory function recovery and pneumothorax absorption were achieved. 15 patients with tuberculous constrictive pericarditis recovered successfully, except 1 patient died in perioperative period.
Conclusion: Pericardium and macrovascular lesions associated with infectious diseases can obtain good curative effect through minimally invasive technology, which is worthy of application and popularization.
