Background: Ostium secundum ASD used to be surgically closed using the standard median sternotomy, Improvement in surgical techniques encouraged many surgeons to use minimally invasive approaches as an alternative to the conventional one. Aim of the work:To evaluate the outcome and effectiveness of the right anterior thoracotomy approach as an alternative for the median sternotomy for surgical repair of secundum ASD. Methods: This is a prospective observational study done on 50 adult patients diagnosed with ASD of ostium secundum type, indicated for surgery and not amenable to device closure. They were divided into two equal groups: group I, represented 25 patient who underwent ASD repair through conventional median sternotomy (CMS), and group II represented 25 patients underwent right minithoracotomy (RMT). Comparison between groups was done regarding clamp time, bypass time, ventilation time and ICU and hospital stay.Results: Our study showed that RMT patients had significantly smaller incision, less time of mechanical ventilation, less ICU and hospital stay, though having more bypass time when compared with the conventional median sternotomy. No operative or in hospital mortality with excellent patient satisfaction.Conclusions: RMT used for surgical closure of secundum ASD is a safe and effective procedure showing many advantages over sternotomy, and can be used as a routine approach for such cases.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.