Document Detail

Right anterolateral thoracotomy for repair of atrial septal defect.
MedLine Citation:
PMID:  8678639     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: To procure a cosmetic incision in female patients, we performed operation on atrial septal defects through a right anterolateral thoracotomy. METHODS: From 1984 to 1994, 80 female patients with a mean age of 24 +/- 13 years (ranging from 12 to 62 years) underwent right anterolateral thoracotomy for atrial septal defect repairs. Defects repaired included 62 ostium secundum, 12 sinus venosus, 2 low septal defect, and 4 ostium primum. The right iliac external artery was systematically used for arterial cannulation, through a cosmetic incision. Repairs were always performed under fibrillation, except in the 4 ostium primum defects, for which cardioplegia was used. RESULTS: There was no operative or late mortality, and no morbidity directly related to the thoracotomy approach. CONCLUSIONS: The right thoracotomy incision appears to be a safe and effective alternative to median sternotomy for repair of atrial septal defects.
J M Grinda; T A Folliguet; P Dervanian; L Mac?; B Legault; J Y Neveux
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  62     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1996 Jul 
Date Detail:
Created Date:  1996-08-14     Completed Date:  1996-08-14     Revised Date:  2010-03-24    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  175-8     Citation Subset:  AIM; IM    
D?partment de Chirugie Cardio-vasculaire et Cardiaque P?diatrique, H?pital Marie Lannelongue, Universit? Paris Sud, France.
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MeSH Terms
Heart Septal Defects, Atrial / surgery*
Intraoperative Care
Pericardium / transplantation
Postoperative Complications / epidemiology
Sternum / surgery
Thoracotomy / methods*
Comment In:
Ann Thorac Surg. 1997 Mar;63(3):913-4   [PMID:  9066440 ]

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

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