Document Detail


Minimally invasive right posterior minithoracotomy for open-heart procedures.
MedLine Citation:
PMID:  18042769     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A right posterior minithoracotomy was evaluated in 123 selected patients between November 2002 and August 2006. Their ages ranged from 1.5 to 32 years (mean, 7.8 years) and weights ranged from 12.3 to 61.6 kg (mean, 23.3 kg). Pathology included atrial septal defect in 81 (66%), ventricular septal defect in 16 (13%), and 24 other (mainly valve) defects. All patients had a strictly posterior right minithoracotomy through the 4(th) or 5(th) right intercostal space, with a 7-9-cm skin incision. There was no mortality or procedure-related morbidity. The mean cardiopulmonary bypass time was 68 min, ischemic time was 47 min, and 47 (38%) patients were extubated on the operating table. The mean hospital stay was 4.3 days and it was < 5 days in 108 (88%) patients. A cosmetically fine scar was achieved in all patients. The right posterior minithoracotomy is a safe, cosmetically superior, and cost-effective approach for selected open-heart procedures.
Authors:
Khaled Samir Mohamed
Related Documents :
3372079 - A comparative long-term follow-up of the results of anterior and posterior approaches i...
1164189 - Congenital heart disease in adults: surgical management.
16684019 - Predictors of appropriate defibrillator therapy among patients with an implantable defi...
11385379 - Closure of atrial septal defects without cardiopulmonary bypass: the sandwich operation.
16868299 - Management of recalled pacemakers and implantable cardioverter-defibrillators: a decisi...
9527209 - Minimally invasive repair of atrial septal defects.
9486779 - Effects of en bloc esophagectomy on nutritional and immune status in patients with esop...
20144089 - Synovectomy of the metatarsophalangeal joints in rheumatoid arthritis.
21686349 - Acute prostatitis as an uncommon presentation of brucellosis.
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Asian cardiovascular & thoracic annals     Volume:  15     ISSN:  1816-5370     ISO Abbreviation:  Asian Cardiovasc Thorac Ann     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-28     Completed Date:  2008-05-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9503417     Medline TA:  Asian Cardiovasc Thorac Ann     Country:  Singapore    
Other Details:
Languages:  eng     Pagination:  468-71     Citation Subset:  IM    
Affiliation:
Cardiovascular Services Department, Saad Specialist Hospital, Alkhobar, Saudi Arabia. ksam68@yahoo.com
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cardiac Surgical Procedures / adverse effects,  economics,  methods*
Cardiopulmonary Bypass
Child
Child, Preschool
Cicatrix / etiology
Cost-Benefit Analysis
Female
Follow-Up Studies
Heart Defects, Congenital / surgery*
Humans
Infant
Length of Stay
Male
Retrospective Studies
Surgical Procedures, Minimally Invasive
Thoracotomy / adverse effects,  economics,  methods*
Time Factors
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Glutamine improves myocardial function following ischemia-reperfusion injury.
Next Document:  Minimal vs median sternotomy for aortic valve replacement.