Surgical repair via submammary thoracotomy, right axillary thoracotomy and median sternotomy for ventricular septal defects

Right submammary thoracotomy and right vertical infra-axillary thoracotomy are performed for ventricular septal defect (VSD) to reduce the invasiveness of the conventional surgical repair through median sternotomy approach. No comparative studies have been conducted among these three procedures. Fro...

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Bibliographic Details
Published in:Journal of cardiothoracic surgery 2018-05, Vol.13 (1), p.47-47, Article 47
Main Authors: Hong, Zhi-Nuan, Chen, Qiang, Lin, Ze-Wei, Zhang, Gui-Can, Chen, Liang-Wan, Zhang, Qi-Liang, Cao, Hua
Format: Article
Language:English
Subjects:
Aorta
Axilla
Blood transfusion
Blood Transfusion - statistics & numerical data
Cardiac Surgical Procedures - methods
Cardiovascular disease
Care and treatment
Catheters
Child, Preschool
Comparative studies
Congenital diseases
Congenital heart diseases
Coronary vessels
Defects
Female
Health Care Costs
Heart
Heart Septal Defects, Ventricular - surgery
Heart surgery
Humans
Infant
Intensive Care Units
Invasiveness
Length of Stay - statistics & numerical data
Male
Mechanical ventilation
Median sternotomy
Minimally Invasive Surgical Procedures - methods
Operative Time
Ostomy
Patients
Postoperative Period
Pulmonary hypertension
Respiration, Artificial
Retrospective Studies
Right axillary thoracotomy
Statistical analysis
Sternotomy - methods
Submammary thoracotomy
Surgery
Thoracic surgery
Thoracotomy
Thoracotomy - methods
Transfusion
Treatment Outcome
Ventilation
Ventricle
Ventricular septal defect
Ventricular septal defects
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Summary:Right submammary thoracotomy and right vertical infra-axillary thoracotomy are performed for ventricular septal defect (VSD) to reduce the invasiveness of the conventional surgical repair through median sternotomy approach. No comparative studies have been conducted among these three procedures. From January 2016 to December 2016, 182 patients with isolated VSD who underwent surgical repair via one of these 3 approaches were reviewed to compare these three procedures. The procedure success rates were similar in these three groups. There was no statistically significant difference in operative time, aortic cross-clamping time, the duration of CPB, blood transfusion amount and medical cost. However, postoperative mechanical ventilation time, the duration of intensive care and postoperative length of hospital stay were longer in median sternotomy group than the other two groups. (P 
ISSN:1749-8090
1749-8090
DOI:10.1186/s13019-018-0734-5