Mokryk I. Optimization of selection and performance of minimally invasive approaches for correction of congenital heart disease in artificial circulation

Object of research: 5 cadavers of adults. 118 patients with different forms of congenital heart disease (secundum atrial septal defect; primum atrial septal defect; sinus venosus defect with partial anomalous pulmonary venous return), who underwent surgical correction of cardiac pathology; Aim of the study: to improve immediate and long-term results of physical and psychosocial rehabilitation of patients after correction of congenital heart disease by implementation of minimally invasive methods of surgical treatment; Methods of research: topographic anatomical; general clinical; biochemical; roentgenological; ultrasound; statistical; Scientific innovation of research: this is pioneer national stu,dy, generalizing experience of implementation of minimally invasive methods in surgical treatment of congenital cardiac pathology. New protocol for experimental comparative characteristic of different minimally invasive surgical approaches was developed. Indications and contraindications for clinical use of right anterolateral thoracotomy in correction of congenital heart disease were presented. Method was introduced in routine cardiac surgical practice, based on modifications of: bypass technique, methods of intracardiac anatomy exposition; details of surgical technique; air embolism prevention protocol; Practical significance of research: results of the study are ready for practical use. Introduction of minimally invasive methods in cardiac surgical practice brought to decrease of postoperative morbidity and to improvement of physical and psychosocial rehabilitation characteristics of operated patients; It is inculcated - in medical practice, in an educational process; Sphere - medical practice.