Right submammarian thoracotomy in female patients with atrial septal defects and anomalous pulmonary venous connections

Dietl, Charles A.; Torres, Alberto R.; Favaloro, René G.

doi:10.1016/s0022-5223(19)34742-7

Cited by 42 publications

(19 citation statements)

References 10 publications

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“…This is, possibly, because in the series of these authors, the procedures were performed by more than one surgeon, as well as involving a learning curve. Our data are similar to other published results [13][14][15] which suggest that, with this form of access, the times of surgery, aortic clamping and CPB are similar with the times observed in complete sternotomy.…”

Section: Commentssupporting

confidence: 91%

<![CDATA[<B>Comparative study between inverted "L" mini-sternotomy and complete sternotomy for the surgical treatment of the atrial septal defect (ASD)</B>]]>

Sampaio¹,

Carvalho²,

Alves³

et al. 2005

Braz. j. cardiovasc. surg.

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Objective: To compare the results obtained from two distinct surgical approaches in patients undergoing surgical correction of an atrial septal defect (ASD). Method: The study series consisted of 20 patients, with a mean age of 24.1 ± ± ± ± ± 14.2 years, distributed in two groups. In group A, 10 patients (80% female, with a mean age of 20.9 ± ± ± ± ± 12.0 years) underwent surgical correction of ASD through a complete sternotomy. In group B, 10 patients (80% of females, with a mean age of 27.4 ± ± ± ± ± 16.1 years) were operated through an inverted 'L' ministernotomy. A p-value < 0.05 was considered statistically significant. Results: There was no statistical significance for demographics variables, duration of surgery, cardiopulmonary bypass time, clamping time, amount of cardioplegia administered, thoracic drainage, ICU stay, duration of mechanical ventilatory support, amount of blood and its components transfused, arrhythmia or pacemaker usage. There was statistical significance (p= 0.00001) between incision size performed by complete sternotomy (group A) and inverted 'L' mini-sternotomy (group B), with mean incision sizes of 15.7 ± ± ± ± ± 0.8 and 6.8 ± ± ± ± ± 0.6 cm, respectively. There was a difference in the mean hospital stay between the groups but without statistical significance (7.5 ± 1.6 days in group A and 6.4 ± 1.3 days in group B, with a p-value = 0.12). There was no mortality or complications reported in either surgical approach. Conclusion: There was no difference in the operative and postoperative periods between the techniques that were performed except for the incision size, with a better cosmetic result seen with the inverted 'L' ministernotomy.

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Section: Commentssupporting

confidence: 91%

<![CDATA[<B>Comparative study between inverted "L" mini-sternotomy and complete sternotomy for the surgical treatment of the atrial septal defect (ASD)</B>]]>

Sampaio¹,

Carvalho²,

Alves³

et al. 2005

Braz. j. cardiovasc. surg.

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“…Although all the intracardiac malformations can be well corrected through a right atrial incision, some surgeons have accomplished the operations through a right ALT. [1][2][3] An ALT may cause breast and pectoral muscle maldevelopment, 4 and decrease the nipple sensitivitvity. 8 To avoid the potential risk of mammary atrophy, some authors thought it could only be used when the submammary groove had been defined perfectly in female patients.…”

Section: Discussionmentioning

confidence: 99%

“…For cosmetic and psychological reasons, a right anterolateral thoracotomy (ALT) is preferable in young women. 1,2,3 In 1986, Cherup et al have noticed a high frequency of breast and pectoral muscle maldevelopment in children undergoing anterolateral thoracotomies. 4 To solve this problem, we have developed a minimal right vertical infra-axillary thoracotomy (VIAT) for PAVSD repair.…”

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confidence: 99%

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Repair of Partial Atrioventricular Septal Defect through a Minimal Right Vertical Infra-Axillary Thoracotomy

Yang

Wang

2003

Journal of Cardiac Surgery

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“…Skin incision under the right sub-mammary crease (or 6th intercostal space in children). En-block dissection of subcutaneous tissue and pectoral muscle (30,31). Cage-rib entry in the 4th intercostal space.…”

Section: Methodsmentioning

confidence: 99%

How to set-up a program of minimally-invasive surgery for congenital heart defects

Gil-Jaurena¹,

Pérez-Caballero²,

Pita-Fernández³

et al. 2016

Transl. Pediatr.

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Minimally invasive pediatric cardiac surgery is becoming a common procedure worldwide. Our schedule to set up a program proves beneficial. The three-step approach has been successful in our experience, allowing a tailored training for every new surgeon and enhancing the enthusiasm in developing further strategies on their own. Recording conversion-rates and complications stands for quality standards. A twofold increase in minimally invasive procedures was observed in two years. The short-medium term results after three years are excellent.

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Right submammarian thoracotomy in female patients with atrial septal defects and anomalous pulmonary venous connections

Cited by 42 publications

References 10 publications

<![CDATA[<B>Comparative study between inverted "L" mini-sternotomy and complete sternotomy for the surgical treatment of the atrial septal defect (ASD)</B>]]>

<![CDATA[<B>Comparative study between inverted "L" mini-sternotomy and complete sternotomy for the surgical treatment of the atrial septal defect (ASD)</B>]]>

Repair of Partial Atrioventricular Septal Defect through a Minimal Right Vertical Infra-Axillary Thoracotomy

How to set-up a program of minimally-invasive surgery for congenital heart defects

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