Limited Right Posterior Thoracotomy Approach to Atrial Septal Defect

Experience of atrial septal defect closure via a limited posterior thoracotomy is described. From July 1999 to May 2001, 75 prepubertal girls with a median age of 7 years (range, 3 to 13 years) and a median weight of 18 kg (range, 10 to 46 kg) underwent atrial septal defect closure through a limited...

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Bibliographic Details
Published in:Asian cardiovascular & thoracic annals 2002-09, Vol.10 (3), p.240-243
Main Authors: Sunil, Gopalraj S, Koshy, Sajan, Dhinakar, Seetharaman, Shivaprakasha, Krishnanaik, Rao, Suresh G
Format: Article
Language:English
Subjects:
Adolescent
Age Factors
Child
Child, Preschool
Female
Follow-Up Studies
Heart Septal Defects, Atrial - surgery
Humans
Length of Stay
Outcome Assessment (Health Care)
Postoperative Complications
Retrospective Studies
Thoracotomy - adverse effects
Thoracotomy - methods
Time Factors
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Summary:Experience of atrial septal defect closure via a limited posterior thoracotomy is described. From July 1999 to May 2001, 75 prepubertal girls with a median age of 7 years (range, 3 to 13 years) and a median weight of 18 kg (range, 10 to 46 kg) underwent atrial septal defect closure through a limited right posterior thoracotomy. All but 2 patients had an uneventful postoperative recovery. The median duration of ventilation was 13.3 hours (range, 4 to 24 hours). Median hospital stay was 6 days (range, 6 to 8 days). All patients were followed up for 7 to 32 months (mean, 15 months). The wounds healed well without any restriction of limb movement. The limited posterior thoracotomy gave excellent cosmetic results and can be used as a safe alternative approach for atrial septal defect closure in prepubertal females.
ISSN:0218-4923
1816-5370
DOI:10.1177/021849230201000311