Right Anterolateral Thoracotomy an Alternative to Median Sternotomy for Closure of Atrial Septal Defect: A Cosmetic Approach in Young Females
Journal Title: Nepalese Heart Journal - Year 2015, Vol 12, Issue 1
Abstract
background andaims: Atrial septal defect operation is a safe and low-risk procedure. Cosmetic results have been an important issue, so right anterolateral thoracotomy approach has been used for repair. We present minimally invasive ASD closure via limited right anterolateral thoracotomy, as our early experience in road of minimally invasive cardiac surgery. Methods: This study was done in the Manmohan Cardiothoracic and Transplant Center in the time period of 2012 to 2013. The study included 70 patients aged 15 – 35 years old (22.1±5.5) admitted for surgical repair of their secundum atrial septal defects. The patients were randomly allocated into one of two groups according to the approach used in their operation. Right anterolateral thoracotomy(RALT) group included 35 patients operated via right anterolateral thoracotomy.and median sternotomy(MS) group included 35 patients operated via the median sternotomy. result: Of 70 patients only 63 patients meet the criteria for analysis. There was no statistically significant difference between the 2 groups regarding their demographic data and duration of operation. Postoperative pleural/pericardial effusion and pneumothorax occurred in 2.1% of patients in MS and 6.6% in Right anterolateral thoracotomygroup (p= 0.001). Total in hospital pain score was high in sternotomy group than thoracotomy group, but did not reach statistically significant values. There was no operative or late mortality or morbidity in the early follow-up (range, 1 m to 2 years, mean 1.34 yrs). Conclusion: RALT is a safe and effective alternative approach to MS incision for ASD closure.
Authors and Affiliations
Ravi Kumar Baral| Department of Cardiothoracic and Vascular surgery Manmohan Cardiovascular Thoracic and Transplant Center (MCVTC), Institute of Medicine, Maharajgunj, Kathmandu, Bhagawan Koirala| Department of Cardiothoracic and Vascular surgery Manmohan Cardiovascular Thoracic and Transplant Center (MCVTC), Institute of Medicine, Maharajgunj, Kathmandu
Keywords
Related Articles
- EP ID EP15744
- DOI http://dx.doi.org/10.3126/njh.v12i1.12340
- Views 373
- Downloads 18
Cor Triatriatum in an Adult
A 29 year old female patient presented to the cardiology OPD with history of progressive breathlessness of NYHA class II and palpitation of 1 year duration. Under evaluation, she underwent 2D transthoracic echocardiogra...
Patern of Valvular Involvement and Demographic Features of Patents on Injecton Benzathine Penicillin at Dhulikhel Hospital
Background Rheumatc heart disease (RHD) is the most common cardiovascular disease in children and young adults. Though declined and almost non-existent in developed natons, RHD is stll one of the leading cause for prem...
Surgical Embolectomy In Massive Acute Pulmonary Embolism: Our Experience
Background and Aims: Pulmonary embolism (PE) is the leading cause of hospital deaths among the non-surgical patients. Our aim was to evaluate the effcacy of surgical embolectomy in massive acute PE. Methods: It was a s...
Angioplasty Outcomes in the Elderly Nepalese Patents: an eight years experience in Norvic Internatonal Hospital
Background The aim of the study is to evaluate and compare the outcomes of percutaneous transluminal coronary angioplasty (PTCA) between the elderly (>70 yrs) and the non-elderly (70 yrs and younger) Nepalese patents w...
Comment to "Amlodipine overdose with hypotension and noncardiogenic pulmonary edema"