Right axillary incision: a cosmetically superior approach to repair a wide range of congenital cardiac defects.

Détails

ID Serval
serval:BIB_6B59E9847A28
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Right axillary incision: a cosmetically superior approach to repair a wide range of congenital cardiac defects.
Périodique
Journal of Thoracic and Cardiovascular Surgery
Auteur(s)
Prêtre R., Kadner A., Dave H., Dodge-Khatami A., Bettex D., Berger F.
ISSN
0022-5223 (Print)
ISSN-L
0022-5223
Statut éditorial
Publié
Date de publication
2005
Peer-reviewed
Oui
Volume
130
Numéro
2
Pages
277-281
Langue
anglais
Résumé
OBJECTIVES: We sought to evaluate the safety of a right axillary incision, a cosmetically superior approach than anterolateral thoracotomy, to repair various congenital heart defects.
METHODS: All the patients who were approached with this incision between March 2001 and October 2004 were included in the study. There were 80 patients (median age, 4 years) with atrial septal defect closure (38 patients), repair of partial abnormal pulmonary venous return (14 patients), partial atrioventricular canal (16 patients), and perimembranous ventricular septal defect (12 patients). The surgical technique involved peripheral and central cannulation for institution of cardiopulmonary bypass. Electrically induced ventricular fibrillation was used for defects located in front of the atrioventricular valves, and cardioplegic arrest was used for those located at the level or behind these valves.
RESULTS: The repair was possible without need for conversion to another approach. One patient sustained a transient neurologic deficit. The patients were all in excellent condition after a mean follow-up of 14 months. The cardiac defect was repaired with no residual defect in 75 patients and with trivial residual defect in 5 patients (3 with mitral valve regurgitation, 1 with atrial septal defect, and 1 with ventricular septal defect). The incision healed properly in all, and the thorax showed no deformity.
CONCLUSION: The right axillary incision provides a quality of repair for various congenital defects similar to that obtained by using standard surgical approaches. Because it lies more laterally and is hidden by the resting arm, it provides superior cosmetic results compared with conventional incisions, including the anterolateral thoracotomy. Finally, the incision is unlikely to interfere with subsequent development of the breast.
Pubmed
Web of science
Open Access
Oui
Création de la notice
16/12/2014 18:40
Dernière modification de la notice
20/08/2019 14:25
Données d'usage