Document Detail


Anterolateral minithoracotomies for the radical correction of congenital heart diseases.
MedLine Citation:
PMID:  20069084     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
During the past 10 years, minimally invasive surgical techniques have been applied more and more widely in both adult and pediatric populations, especially in female patients. Right anterolateral minithoracotomy is an alternative to median sternotomy that yields a better cosmetic outcome. From May 1997 through September 2008, 132 patients (107 females, 25 males) underwent open-heart surgery through right anterolateral minithoracotomy. Ages ranged from 1 to 49 years (mean, 10.12 yr). Mean body weight was 21.3 kg (range, 9.4-78 kg). Corrected defects included atrial septal defect, partial anomalous pulmonary venous connection, partial atrioventricular canal defect, ventricular septal defect alone or with pulmonary valve stenosis, tetralogy of Fallot, cor triatriatum, mitral valve defect, and pericardial cyst. The anterolateral skin incision was 5 to 7 cm. Our control group--which in the same period underwent the same interventional procedures through median sternotomy--consisted of 415 patients, 245 of whom were female (59%). There was no early or late death or major illness as a sequela. No patient required conversion to full sternotomy. All patients had gratifying cosmetic results at longer follow-up. Indeed the mortality and morbidity rates obtained through our approach were almost the same as those obtained through median sternotomy, and there were no significant differences in cardiopulmonary bypass time, aortic cross-clamp time, ventilation time, or postoperative hospital stay. We conclude that the right anterolateral minithoracotomy for correction of congenital heart defects offers superior cosmetic results without increasing morbidity or mortality rates and confers upon patients psychological and social satisfaction.
Authors:
Gaetano Palma; Raffaele Giordano; Veronica Russolillo; Sabato Cioffi; Sergio Palumbo; Marco Mucerino; Vincenzo Poli; Giuseppina Langella; Carlo Vosa
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Texas Heart Institute journal / from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital     Volume:  36     ISSN:  1526-6702     ISO Abbreviation:  Tex Heart Inst J     Publication Date:  2009  
Date Detail:
Created Date:  2010-01-13     Completed Date:  2010-02-22     Revised Date:  2013-05-29    
Medline Journal Info:
Nlm Unique ID:  8214622     Medline TA:  Tex Heart Inst J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  575-9     Citation Subset:  IM    
Affiliation:
Department of Clinical Medicine & Cardiovascular Sciences, Adult & Pediatric Cardiac Surgery, University of Naples Federico II, Naples 80131, Italy.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cardiac Surgical Procedures* / adverse effects,  mortality
Cardiopulmonary Bypass
Child
Child, Preschool
Cicatrix / etiology,  prevention & control
Female
Heart Defects, Congenital / mortality,  surgery*
Humans
Infant
Length of Stay
Male
Middle Aged
Patient Satisfaction
Pulmonary Ventilation
Retrospective Studies
Sternotomy* / adverse effects,  mortality
Surgical Procedures, Minimally Invasive
Thoracotomy* / adverse effects,  mortality
Time Factors
Treatment Outcome
Young Adult
Comments/Corrections

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