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  • Open Access

    ARTICLE

    Right Axillary Thoracotomy vs. Median Sternotomy for Repair of Congenital Heart Defects in Infants and Children

    Sameh M. Said1,2,*, 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 >

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  • Open Access

    REVIEW

    The Effects of Laser Therapy in Treating Hypertrophic Scars and Keloids after Median Sternotomy: A Scoping Review

    Laura Schianchi1,*, Fabrizio Vaira2, Massimo Chessa1,3, Serena Francesca Flocco4, Arianna Magon4, Gianluca Conte4, Karina Geraldina Zuniga Olaya5, Giacomo Bortolussi6, Erika Cioffi1, Matteo Riccardo Di Nicola2, Santo Raffaele Mercuri2, Rosario Caruso4,7

    Congenital Heart Disease, Vol.19, No.4, pp. 363-374, 2024, DOI:10.32604/chd.2024.053999 - 31 October 2024

    Abstract Background: Hypertrophic scars and keloids, common complications following median sternotomy for cardiac surgery, significantly impact patient quality of life due to their aesthetic and symptomatic burden. Recent advancements in laser therapy have made it a prominent option for managing these complex scars, yet a comprehensive understanding of its efficacy is lacking. The aim of this scoping review is to explore the effects of laser therapy in managing hypertrophic scars and keloids after median sternotomy. Methods: This scoping review analyzed studies up to February 2024 from databases including PubMed, EMBASE, CINAHL, Scopus, Web of Science, and… More >

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