Comparative Study between Surgical Repair of Atrial Septal Defect via Median Sternotomy, Right Submammary Thoracotomy, and Right Vertical Infra-Axillary Thoracotomy
Abstract Objective: To compare the results of surgical repair via median sternotomy, right submammary thoracotomy, and right vertical infra-axillary thoracotomy for atrial septal defect (ASD). Methods: This is a retrospective analysis of the relative perioperative and postoperative data of 136 pat...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Cardiovascular
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| Series: | Brazilian Journal of Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382020000300011&lng=en&tlng=en |
| _version_ | 1817991430854934528 |
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| author | Zeng-rong Luo Qiang Chen Ling-li Yu Liang-wan Chen Zhong-yao Huang |
| author_facet | Zeng-rong Luo Qiang Chen Ling-li Yu Liang-wan Chen Zhong-yao Huang |
| author_sort | Zeng-rong Luo |
| collection | DOAJ |
| description | Abstract Objective: To compare the results of surgical repair via median sternotomy, right submammary thoracotomy, and right vertical infra-axillary thoracotomy for atrial septal defect (ASD). Methods: This is a retrospective analysis of the relative perioperative and postoperative data of 136 patients who underwent surgical repair for ASD with the abovementioned three different treatments in our hospital from June 2014 to December 2017. Results: The results of the surgeries were all satisfactory in the three groups. No statistically significant difference was found in operative time, duration of cardiopulmonary bypass, blood transfusion amount, postoperative mechanical ventilation time, duration of intensive care unit, length of hospital stay, and hospital costs. However, the median sternotomy group had the longest incision. Meanwhile, there was no significant difference in postoperative complications. Conclusion: All three types of surgical incisions can be safely and effectively used to repair ASD. The treatments via right submammary thoracotomy and right vertical infra-axillary thoracotomy have advantages over the treatment via median sternotomy in cosmetic results and should be the recommended options. |
| first_indexed | 2024-04-14T01:13:08Z |
| format | Article |
| id | doaj.art-82769f2a3c434ee8b8bf62772b6c5def |
| institution | Directory Open Access Journal |
| issn | 0102-7638 1678-9741 |
| language | English |
| last_indexed | 2024-04-14T01:13:08Z |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| record_format | Article |
| series | Brazilian Journal of Cardiovascular Surgery |
| spelling | doaj.art-82769f2a3c434ee8b8bf62772b6c5def2022-12-22T02:20:58ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery0102-76381678-974135328529010.21470/1678-9741-2019-0096S0102-76382020000300011Comparative Study between Surgical Repair of Atrial Septal Defect via Median Sternotomy, Right Submammary Thoracotomy, and Right Vertical Infra-Axillary ThoracotomyZeng-rong LuoQiang ChenLing-li YuLiang-wan ChenZhong-yao HuangAbstract Objective: To compare the results of surgical repair via median sternotomy, right submammary thoracotomy, and right vertical infra-axillary thoracotomy for atrial septal defect (ASD). Methods: This is a retrospective analysis of the relative perioperative and postoperative data of 136 patients who underwent surgical repair for ASD with the abovementioned three different treatments in our hospital from June 2014 to December 2017. Results: The results of the surgeries were all satisfactory in the three groups. No statistically significant difference was found in operative time, duration of cardiopulmonary bypass, blood transfusion amount, postoperative mechanical ventilation time, duration of intensive care unit, length of hospital stay, and hospital costs. However, the median sternotomy group had the longest incision. Meanwhile, there was no significant difference in postoperative complications. Conclusion: All three types of surgical incisions can be safely and effectively used to repair ASD. The treatments via right submammary thoracotomy and right vertical infra-axillary thoracotomy have advantages over the treatment via median sternotomy in cosmetic results and should be the recommended options.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382020000300011&lng=en&tlng=enheart septal defects, atrialcardiopulmonary bypasssternotomysurgical woundrespiration, artificialpostoperative complications |
| spellingShingle | Zeng-rong Luo Qiang Chen Ling-li Yu Liang-wan Chen Zhong-yao Huang Comparative Study between Surgical Repair of Atrial Septal Defect via Median Sternotomy, Right Submammary Thoracotomy, and Right Vertical Infra-Axillary Thoracotomy Brazilian Journal of Cardiovascular Surgery heart septal defects, atrial cardiopulmonary bypass sternotomy surgical wound respiration, artificial postoperative complications |
| title | Comparative Study between Surgical Repair of Atrial Septal Defect via Median Sternotomy, Right Submammary Thoracotomy, and Right Vertical Infra-Axillary Thoracotomy |
| title_full | Comparative Study between Surgical Repair of Atrial Septal Defect via Median Sternotomy, Right Submammary Thoracotomy, and Right Vertical Infra-Axillary Thoracotomy |
| title_fullStr | Comparative Study between Surgical Repair of Atrial Septal Defect via Median Sternotomy, Right Submammary Thoracotomy, and Right Vertical Infra-Axillary Thoracotomy |
| title_full_unstemmed | Comparative Study between Surgical Repair of Atrial Septal Defect via Median Sternotomy, Right Submammary Thoracotomy, and Right Vertical Infra-Axillary Thoracotomy |
| title_short | Comparative Study between Surgical Repair of Atrial Septal Defect via Median Sternotomy, Right Submammary Thoracotomy, and Right Vertical Infra-Axillary Thoracotomy |
| title_sort | comparative study between surgical repair of atrial septal defect via median sternotomy right submammary thoracotomy and right vertical infra axillary thoracotomy |
| topic | heart septal defects, atrial cardiopulmonary bypass sternotomy surgical wound respiration, artificial postoperative complications |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382020000300011&lng=en&tlng=en |
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