Atrial septal defect repair through limited lateral thoracotomy in children |
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Authors: | Takeshi Shinkawa Masaaki Yamagishi Keisuke Shuntoh Takako Miyazaki Takahiro Hisaoka Tomoya Inoue and Hitoshi Yaku |
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Institution: | (1) Department of Pediatric Cardiovascular Surgery, Children's Research Hospital, Kyoto Prefectural University of Medicine, Kawaramachi, Hirokoji, Kamigyo-ku, Kyoto 602-8566, Japan;(2) Division of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan |
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Abstract: | Objective We have developed a surgical method for atrial septal defect repair through a limited right lateral thoracotomy in which the
incision line begins 2 cm caudal from the lower angle of the scapula and ends at the midaxial line, thereby improving patient
satisfaction with the cosmetic results of treatment.
Methods We performed a retrospective review of 28 patients who underwent isolated atrial septal defect repair through a limited right
lateral thoracotomy between January 2002 and August 2004. The mean age and mean body weight at the time of the operation were
85.8 months (range 9–236 months) and 23.0 kg (range 8.0–56.0 kg), respectively. All repaired defects were the ostium secundum
type.
Results There was no operative or late mortality and no late morbidity after a mean follow-up of 26 months (range 12–41 months). Echocardiography
showed no residual shunt in any of the patients. The mean length of the skin incision was 7.8 cm (range 5.0–11.0 cm), and
almost all the patients had satisfactory cosmetic results.
Conclusion The atrial septal defect repair through a limited right lateral thoracotomy in pediatric patients showed satisfactory surgical
results and excellent cosmetic results. |
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Keywords: | Atrium Congenital Cosmetics Pediatric |
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