OBJECTIVE: We have developed a surgical method for atrial septal defect repair through a limited right lateral thoracotomy in which the incision line begins 2 cm caudal from the lower angle of the scapula and ends at the midaxial line, thereby improving patient satisfaction with the cosmetic results of treatment. METHODS: We performed a retrospective review of 28 patients who underwent isolated atrial septal defect repair through a limited right lateral thoracotomy between January 2002 and August 2004. The mean age and mean body weight at the time of the operation were 85.8 months (range 9-236 months) and 23.0 kg (range 8.0-56.0 kg), respectively. All repaired defects were the ostium secundum type. RESULTS: There was no operative or late mortality and no late morbidity after a mean follow-up of 26 months (range 12-41 months). Echocardiography showed no residual shunt in any of the patients. The mean length of the skin incision was 7.8 cm (range 5.0-11.0 cm), and almost all the patients had satisfactory cosmetic results. CONCLUSION: The atrial septal defect repair through a limited right lateral thoracotomy in pediatric patients showed satisfactory surgical results and excellent cosmetic results.
OBJECTIVE: We have developed a surgical method for atrial septal defect repair through a limited right lateral thoracotomy in which the incision line begins 2 cm caudal from the lower angle of the scapula and ends at the midaxial line, thereby improving patient satisfaction with the cosmetic results of treatment. METHODS: We performed a retrospective review of 28 patients who underwent isolated atrial septal defect repair through a limited right lateral thoracotomy between January 2002 and August 2004. The mean age and mean body weight at the time of the operation were 85.8 months (range 9-236 months) and 23.0 kg (range 8.0-56.0 kg), respectively. All repaired defects were the ostium secundum type. RESULTS: There was no operative or late mortality and no late morbidity after a mean follow-up of 26 months (range 12-41 months). Echocardiography showed no residual shunt in any of the patients. The mean length of the skin incision was 7.8 cm (range 5.0-11.0 cm), and almost all the patients had satisfactory cosmetic results. CONCLUSION: The atrial septal defect repair through a limited right lateral thoracotomy in pediatric patients showed satisfactory surgical results and excellent cosmetic results.
Authors: J G Murphy; B J Gersh; M D McGoon; D D Mair; C J Porter; D M Ilstrup; D C McGoon; F J Puga; J W Kirklin; G K Danielson Journal: N Engl J Med Date: 1990-12-13 Impact factor: 91.245
Authors: M Massetti; G Babatasi; A Rossi; E Neri; S Bhoyroo; S Zitouni; P Maragnes; A Khayat Journal: Ann Thorac Surg Date: 1996-10 Impact factor: 4.330