Limited right anterolateral thoracotomy for mitral valve surgery

El-Fiky, Mohamed M.; El-Sayegh, Tarek; El-Beishry, Ahmed S.; Aziz, Mohamed Abdul; Enein, Hossam Aboul; Waheid, Saiid; Sallam, Ismail

doi:10.1016/s1010-7940(00)00429-2

Cited by 27 publications

(32 citation statements)

References 9 publications

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“…In a study, El-Fiky et al (2000)observed that the mean age of study population was 22 ± 10 years, which is comparable with the current study. 9 However, Ganie et al (2013) and Aybek et al (2006) found the mean age was 44.4 ± 8.2 and 56 ± 14 years respectively in right anterolateral thoracotomy, which is higher with the current study. 6, 11 Similarly, in another study Grossiet al was found the mean age 55.3 ± 17.2 years in standard sternotomy approach, which also higher with the current study.…”

Section: Discussioncontrasting

confidence: 73%

Early outcome of mitral valve replacement through right anterolateral thoracotomy versus standard median sternotomy

Saha

Ranjan

Adhikary

et al. 2018

Bangabandhu Sheikh Mujib Medical University Journal

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<p class="Abstract">This study was aimed to compare the peri-operative outcomes among the mitral valve replace-ment using anterolateral thoracotomy (n=17) and standard median sternotomy (n=17) in a single surgeons practice. The mean age was 24.1 ± 5.3 years in Group I and 41.0 ± 11.5 years in Group II. Female was predominant in Group I. Total operative time and bypass time were significant in both the study groups. Incision scar was not visible in females in Group I but full incision scar was visible in Group II in sitting posture. In Group I patients, majority (52.9%) patients needed short duration of ICU stay in comparison to Group II, and the difference was statistically significant (p<0.05) between the two groups. During discharge, 94.1% wound was well healed in Group I and 70.6% in Group II. Wound dehiscence was nil in Group I, but 23.5% patients developed dehiscence in Group II. However, only 5.9% patient developed unstable sternum in Group II. Cosmetic mitral valve replacement can be done safely through anterolateral thoracotomy and it is cost effective especially for the developing countries.</p>

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Section: Discussioncontrasting

confidence: 73%

Early outcome of mitral valve replacement through right anterolateral thoracotomy versus standard median sternotomy

Saha

Ranjan

Adhikary

et al. 2018

Bangabandhu Sheikh Mujib Medical University Journal

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show abstract

“…The scar usually is covered by breast tissue in female patients. Moreover, complications related to sternotomy, as sternal infection or bleeding, is avoided with this technique [3,5]. One of the principal concern about less invasive surgery is the balance between limited exposure and safety of the procedure.…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, was suggested that a limited anterolateral thoracotomy should be preferred to an extended lateral thoracotomy, in order to minimize postoperative pulmonary complications, because it provides a good operative exposure and preserves the integrity of thoracic cage [3][4][5]. Besides, limited thoracotomy is associated to less infection occurrence, less bleeding and earlier postoperative recovery [5].…”

Section: Introductionmentioning

confidence: 99%

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Mitral valve surgery using right anterolateral thoracotomy: is the aortic cannulation a safety procedure?

Guedes¹,

Pomerantzeff²,

Brandão³

et al. 2010

Rev Bras Cir Cardiovasc

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“…It is considered that, in children, this approach does not impact or change in the development of the chest, the pectoral muscle and breast tissue, maintaining the continuity and integrity of the bony part of the chest. It would be a surgical option to prevent the installation of the deformity called pigeon breast [34][35][36][37][38].…”

Section: Cardiac Surgery Postoperative (Ccpo)mentioning

confidence: 99%

Cirurgia cardíaca pediátrica: o que esperar da intervenção fisioterapêutica?

Silva¹,

Feuser²,

Silva³

et al. 2011

Rev Bras Cir Cardiovasc

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This study aims to gather and present scientific evidence on the role of a physiotherapist in the pre, peri and postoperative of pediatric cardiac surgery. This professional is able to prevent, minimize or reverse possible respiratory dysfunction and motor sequelae resulting from these interventions. Studies discuss the involvement of respiratory system, specifically the clearance of bronchial secretions and ventilatory adequacy, as a result of surgical procedure. Scientific evidences suggest the effectiveness of physiotherapy in reducing indices of: pneumonia, atelectasis, hospitalization, sequelae deleterious, and length of bed restriction, beyond clinical improvement. These data confirm positive contribution of physiotherapeutic intervention in these surgeries.Descriptors: Physical Therapy Modalities. Cardiac Surgical Procedures. Heart Defects, Congenital. ResumoO objetivo deste estudo é reunir e apresentar evidências científicas sobre a atuação do fisioterapeuta nos períodos pré, peri e pós-operatório da cirurgia cardíaca pediátrica. Esse profissional está habilitado a prevenir, minimizar e reverter possíveis disfunções respiratórias e sequelas motoras decorrentes dessas intervenções. Estudos discutem o comprometimento do sistema respiratório, especificamente do clearance de secreção brônquica e da adequação ventilatória, resultantes do procedimento cirúrgico, havendo evidências científicas quanto à eficácia da fisioterapia na redução: dos índices de pneumonias, atelectasias, período de internação, sequelas deletérias, tempo de restrição ao leito, além da melhora clínica. Esses dados atestam a contribuição positiva da intervenção fisioterapêutica nessas cirurgias. Rev Bras Cir Cardiovasc 2011;26(2):264-72 Descritores

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Limited right anterolateral thoracotomy for mitral valve surgery

Abstract: The cosmetic appearance in the test group was excellent and the patients' wounds were scarcely apparent in the female patients. The study demonstrates the efficacy and safety of this older technique, with excellent cosmetic results and no additional cost or risk to the patients.

Cited by 27 publications

References 9 publications

Early outcome of mitral valve replacement through right anterolateral thoracotomy versus standard median sternotomy

Early outcome of mitral valve replacement through right anterolateral thoracotomy versus standard median sternotomy

Mitral valve surgery using right anterolateral thoracotomy: is the aortic cannulation a safety procedure?

Cirurgia cardíaca pediátrica: o que esperar da intervenção fisioterapêutica?

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