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Repair of Partial Atrioventricular Septal Defect through a Minimal Right Vertical Infra‐Axillary Thoracotomy
Author(s) -
Yang Xiubin,
Wang Dongjin,
Wu Qingyu
Publication year - 2003
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1046/j.1540-8191.2003.02042.x
Subject(s) - medicine , thoracotomy , surgery , atrioventricular septal defect , atrioventricular valve , median sternotomy , cardiopulmonary bypass , regurgitation (circulation) , cardiology , heart disease , ventricle
Objective: To report a new minimally invasive and cosmetic approach for partial atrioventricular septal defect (PAVSD) repair. Methods: From November 1997 to January 2000, six patients with a mean age of 19.2 ± 7.7 years underwent minimal right vertical infra‐axillary thoracotomy for PAVSD repair. Left atrioventricular (AV) valve regurgitation was assessed on the beating heart before and after valvuloplasty. Commissuroplasty of the left AV valve and atrial septum repair were done in all patients. Results: There were no operative or late mortality, and no morbidity directly related to the thoracotomy approach. The average length of the incision was 8.3 ± 131 cm . The arrest times averaged 32.8 ± 8.3 minutes , and the cardiopulmonary bypass times averaged 66.0 ± 9.0 minutes . One patient had a mild to moderate left AV valve regurgitation postoperatively. All patients were free of symptoms during the follow‐up. Conclusion: The minimal right vertical infra‐axillary thoracotomy is a safer, more cosmetic and less invasive approach than median sternotomy for the repair of PAVSD. (J Card Surg 2003;18:262‐264)