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Surgical repair via submammary thoracotomy, right axillary thoracotomy and median sternotomy for ventricular septal defects
BACKGROUND: 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 pro...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5963097/ https://www.ncbi.nlm.nih.gov/pubmed/29783998 http://dx.doi.org/10.1186/s13019-018-0734-5 |
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author | Hong, Zhi-Nuan Chen, Qiang Lin, Ze-Wei Zhang, Gui-Can Chen, Liang-Wan Zhang, Qi-Liang Cao, Hua |
author_facet | Hong, Zhi-Nuan Chen, Qiang Lin, Ze-Wei Zhang, Gui-Can Chen, Liang-Wan Zhang, Qi-Liang Cao, Hua |
author_sort | Hong, Zhi-Nuan |
collection | PubMed |
description | BACKGROUND: 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. METHODS: 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. RESULTS: 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 < 0.05) The median sternotomy group required the longest incision. No significant difference was noted in major adverse events. There were different advantages and disadvantages in the three kinds of operative procedures. CONCLUSIONS: Regarding conventional surgical repair VSD, right submammary thoracotomy and right vertical infra-axillary thoracotomy both delivered better cosmetic results for patients with isolated VSD, while all the three procedures could obtain satisfactory clinical effect. |
format | Online Article Text |
id | pubmed-5963097 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-59630972018-06-25 Surgical repair via submammary thoracotomy, right axillary thoracotomy and median sternotomy for ventricular septal defects Hong, Zhi-Nuan Chen, Qiang Lin, Ze-Wei Zhang, Gui-Can Chen, Liang-Wan Zhang, Qi-Liang Cao, Hua J Cardiothorac Surg Research Article BACKGROUND: 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. METHODS: 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. RESULTS: 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 < 0.05) The median sternotomy group required the longest incision. No significant difference was noted in major adverse events. There were different advantages and disadvantages in the three kinds of operative procedures. CONCLUSIONS: Regarding conventional surgical repair VSD, right submammary thoracotomy and right vertical infra-axillary thoracotomy both delivered better cosmetic results for patients with isolated VSD, while all the three procedures could obtain satisfactory clinical effect. BioMed Central 2018-05-21 /pmc/articles/PMC5963097/ /pubmed/29783998 http://dx.doi.org/10.1186/s13019-018-0734-5 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Article Hong, Zhi-Nuan Chen, Qiang Lin, Ze-Wei Zhang, Gui-Can Chen, Liang-Wan Zhang, Qi-Liang Cao, Hua Surgical repair via submammary thoracotomy, right axillary thoracotomy and median sternotomy for ventricular septal defects |
title | Surgical repair via submammary thoracotomy, right axillary thoracotomy and median sternotomy for ventricular septal defects |
title_full | Surgical repair via submammary thoracotomy, right axillary thoracotomy and median sternotomy for ventricular septal defects |
title_fullStr | Surgical repair via submammary thoracotomy, right axillary thoracotomy and median sternotomy for ventricular septal defects |
title_full_unstemmed | Surgical repair via submammary thoracotomy, right axillary thoracotomy and median sternotomy for ventricular septal defects |
title_short | Surgical repair via submammary thoracotomy, right axillary thoracotomy and median sternotomy for ventricular septal defects |
title_sort | surgical repair via submammary thoracotomy, right axillary thoracotomy and median sternotomy for ventricular septal defects |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5963097/ https://www.ncbi.nlm.nih.gov/pubmed/29783998 http://dx.doi.org/10.1186/s13019-018-0734-5 |
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