| Right or left anterolateral minithoracotomy for repair of congenital ventricular septal defects in adult patients. | |
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MedLine Citation:
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PMID: 19850597 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Sung-Ho Jung; Hyung Gon Je; Suk Jung Choo; Tae-Jin Yun; Cheol Hyun Chung; Jae Won Lee |
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Publication Detail:
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Type: Comparative Study; Journal Article Date: 2009-10-22 |
Journal Detail:
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Title: Interactive cardiovascular and thoracic surgery Volume: 10 ISSN: 1569-9285 ISO Abbreviation: Interact Cardiovasc Thorac Surg Publication Date: 2010 Jan |
Date Detail:
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Created Date: 2009-12-18 Completed Date: 2010-01-28 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101158399 Medline TA: Interact Cardiovasc Thorac Surg Country: England |
Other Details:
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Languages: eng Pagination: 22-6 Citation Subset: IM |
Affiliation:
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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. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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:
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Interact Cardiovasc Thorac Surg. 2010 Jan;10(1):26
[PMID:
20019036
]
Interact Cardiovasc Thorac Surg. 2010 Jan;10(1):26 [PMID: 20019037 ] |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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