Document Detail

Minimally invasive right posterior minithoracotomy for open-heart procedures.
MedLine Citation:
PMID:  18042769     Owner:  NLM     Status:  MEDLINE    
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.
Khaled Samir Mohamed
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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    
Cardiovascular Services Department, Saad Specialist Hospital, Alkhobar, Saudi Arabia.
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MeSH Terms
Cardiac Surgical Procedures / adverse effects,  economics,  methods*
Cardiopulmonary Bypass
Child, Preschool
Cicatrix / etiology
Cost-Benefit Analysis
Follow-Up Studies
Heart Defects, Congenital / surgery*
Length of Stay
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

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