Document Detail


Right or left anterolateral minithoracotomy for repair of congenital ventricular septal defects in adult patients.
MedLine Citation:
PMID:  19850597     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
For most patients who present with ventricular septal defects (VSDs) in adulthood, the major concern is not the mortality or morbidity associated with repair surgery, but rather cosmetic problems arising from surgical scarring as a result of median sternotomy. From March 2005 to August 2008, nine patients (M:F=1:8) underwent repair of congenital VSD using right (n=7) or left (n=2) anterolateral minithoracotomy. We compared the perioperative data of these patients with that of the patients (n=8) who underwent VSD repair using median sternotomy during the same period. VSDs were of the perimembranous (n=6), subarterial (n=1), muscular inlet (n=1), and muscular outlet (n=1) type in minithoracotomy group. There was no in-hospital mortality in both groups. Mean cardiopulmonary bypass (CPB) time in minithoracotomy group was longer than that of sternotomy group (98.0+/-23.7 min vs. 68.5+/-13.3 min, P=0.011), but aorta cross-clamping (ACC) time was not different (45.9+/-20.0 min in minithoracotomy group vs. 40.5+/-12.1 min in sternotomy group) (P=0.481). There were no postoperative complications related to surgery or peripheral cannulation. The mean hospital stay was 3.6 days in minithoracotomy group and 6.1 days in sternotomy group, respectively (P=0.004). Minimally invasive cardiac surgery using minithoracotomy with peripheral cannulation can be safely applied to adult VSD patients irrespective of VSD type.
Authors:
Sung-Ho Jung; Hyung Gon Je; Suk Jung Choo; Tae-Jin Yun; Cheol Hyun Chung; Jae Won Lee
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Publication Detail:
Type:  Comparative Study; Journal Article     Date:  2009-10-22
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  10     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2010 Jan 
Date Detail:
Created Date:  2009-12-18     Completed Date:  2010-01-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  22-6     Citation Subset:  IM    
Affiliation:
Department of Thoracic and Cardiovascular Surgery, Asan Medical Center, College of Medicine, University of Ulsan, 388-1 Poongnap2-dong, Songpa-gu, Seoul, 138-736, South Korea.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Cardiac Surgical Procedures / adverse effects,  methods*
Cardiopulmonary Bypass
Cicatrix / etiology,  prevention & control
Constriction
Female
Heart Septal Defects, Ventricular / radiography,  surgery*
Humans
Length of Stay
Male
Middle Aged
Sternotomy* / adverse effects
Thoracotomy / adverse effects,  methods*
Time Factors
Tomography, X-Ray Computed
Treatment Outcome
Young Adult
Comments/Corrections
Comment In:
Interact Cardiovasc Thorac Surg. 2010 Jan;10(1):26   [PMID:  20019036 ]
Interact Cardiovasc Thorac Surg. 2010 Jan;10(1):26   [PMID:  20019037 ]

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