Sameh M. Said^1,2,*, Kristin C. Greathouse³, Christina McCarthy³, Megan Khan³, Molly Hagen⁴, Nicholas Brown⁵, Sacha Kumar⁵, Mahmoud I. Salem⁶, James Flaherty⁷, Yasin Essa¹

Congenital Heart Disease, Vol.19, No.6, pp. 563-575, 2024, DOI:10.32604/chd.2025.061819 - 27 January 2025

Abstract Objective: Vertical right thoracotomy (VRAT) has become an alternative to sternotomy for the repair of non-complex congenital heart defects in our infants and children. Summary Background Data: Limited data exists on the comparison of the two approaches. Methods: The present study consisted of two groups; Group I: (sternotomy; 33 patients) and Group II: (VRAT; 35 patients). We compared the two groups on operative data, hours of invasive lines, narcotics used, length of stay, and total variable cost of stay. Results: The most frequent procedures were atrial and ventricular septal defect closure (25 patients, 75.8% in Group I)… More >

Francesco Bertelli¹, Claudia Cattapan¹, Alvise Guariento², Vladimiro L. Vida^1,*

Congenital Heart Disease, Vol.16, No.1, pp. 39-43, 2021, DOI:10.32604/CHD.2021.013256 - 23 December 2020

Abstract We report the case of three female patients who were scheduled for surgical correction of residual left-to-right shunt after initial repair of sinus venosus atrial septal defect (SV-ASD) during childhood. After excluding the possibility of an hemodynamic intervention, all three patients underwent a successful surgical closure through a right mini sub-axillary approach by using total peripheral cannulation for cardiopulmonary bypass and leaving the inferior vena cava completely un-snared allowing for an optimal visualization of the residual atrial septal communication and avoiding extensive dissection of mediastinal structures. More >