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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 >

  • Open Access

    ARTICLE

    Right thoracotomy for aortic valve replacement in the adolescents with bicuspid aortic valve

    Raffaele Giordano1, Massimiliano Cantinotti2, Giuseppe Comentale1, Luigi Di Tommaso1, Gabriele Iannelli11, Emanuele Pilato1, Gaetano Palma1

    Congenital Heart Disease, Vol.14, No.2, pp. 162-166, 2019, DOI:10.1111/chd.12680

    Abstract Background: In this study, we compared our experience about early and midterm follow‐up outcomes for right anterolateral minithoracotomy (RAMT) vs full sternot‐ omy (FS) in surgical aortic valve replacement (AVR) among adolescents with bicuspid aortic valve (BAV).
    Methods: Patients were retrospectively enrolled from January 2008 to December 2017. Inclusion criteria were patients with BAV who had to undergo to AVR. They were divided in two groups: RAMT and FS. The choice of RAMT was based on indi‐ vidual surgeon’s preferences or when expressly requested by patient that was in‐ formed of nonconventional approach.
    Results: We enrolled 61 patients,… More >

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