Limited Right Posterior Thoracotomy Approach to Atrial Septal Defect

Autor: Sunil, Gopalraj S, Koshy, Sajan, Dhinakar, Seetharaman, Shivaprakasha, Krishnanaik, Rao, Suresh G
Zdroj: Asian Cardiovascular and Thoracic Annals; September 2002, Vol. 10 Issue: 3 p240-243, 4p
Abstrakt: 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.
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