PMID- 25149376
OWN - NLM
STAT- MEDLINE
DCOM- 20150416
LR  - 20180219
IS  - 2352-4146 (Electronic)
IS  - 1995-7645 (Linking)
VI  - 7
IP  - 8
DP  - 2014 Aug
TI  - Comparison of clinical outcomes and postoperative recovery between two open heart 
      surgeries: minimally invasive right subaxillary vertical thoracomy and 
      traditional median sternotomy.
PG  - 625-629
LID - S1995-7645(14)60105-X [pii]
LID - 10.1016/S1995-7645(14)60105-X [doi]
AB  - OBJECTIVE: To compare the clinical outcomes of minimally invasive right 
      subaxillary vertical thoracotomy and traditional median sternotomy through right 
      atrium in treatment of common congenital heart diseases. METHODS: Clinical data 
      of 59 cases of common congenital heart diseases treated with minimally invasive 
      right axillary vertical thoracotomy from May, 2011 to February, 2013 and 77 cases 
      of same diseases with traditional median sternotomy in the past three years were 
      retrospectively analyzed, including atrial septal defect, membranous ventricular 
      septal defect and partial endocardial cushion defect. The results were compared 
      from the two groups, including the time for operation and cardiopulmonary bypass, 
      amount of blood transfusion, postoperative drainage, ventilation time, hospital 
      stay, and prognosis. RESULTS: No severe complications happened in both groups, 
      like deaths or secondary surgery caused by bleeding. No significant differences 
      were in CPB time and postoperative ventilator time between groups (P>0.05), while 
      for all of the operative time, the length of incision, postoperative drainage and 
      hospital stay, minimally invasive right axillary vertical thoracotomy was 
      superior to median sternotomy, with statistically significant differences 
      (P<0.05). In six-month followup after operation, no complications of residual 
      deformity and pericardial effusion were found in both groups by doing 
      echocardiography, but mild pectus carinatum was found in 8 patients in the 
      traditional median sternotomy group (traditional group), whereas patients in 
      another group were well recovered. CONCLUSIONS: Minimally invasive right 
      subaxillary vertical thoracotomy for common congenital heart diseases is as safe 
      as traditional median sternotomy, without the increasing incidence of 
      postoperative complications. Additionally, compared with traditional median 
      sternotomy, minimally invasive right subaxillary vertical thoracotomy is better 
      in the aspects of hidden incision, appearance, and postoperative recovery.
CI  - Copyright (c) 2014 Hainan Medical College. Published by Elsevier B.V. All rights 
      reserved.
FAU - Hu, Chuan-Xian
AU  - Hu CX
AD  - Department of Cardiothoracic Surgery, Huai'an First People's Hospital Affiliated 
      to Nanjing Medical University, Nanjing, Jiangsu, 223300, China.
FAU - Tan, Juan
AU  - Tan J
AD  - Department of Cardiothoracic Surgery, Huai'an First People's Hospital Affiliated 
      to Nanjing Medical University, Nanjing, Jiangsu, 223300, China.
FAU - Chen, Sheng
AU  - Chen S
AD  - Department of Cardiothoracic Surgery, Huai'an First People's Hospital Affiliated 
      to Nanjing Medical University, Nanjing, Jiangsu, 223300, China.
FAU - Ding, Hui
AU  - Ding H
AD  - Department of Cardiothoracic Surgery, Huai'an First People's Hospital Affiliated 
      to Nanjing Medical University, Nanjing, Jiangsu, 223300, China.
FAU - Xu, Zhi-Wei
AU  - Xu ZW
AD  - Department of Cardiothoracic Surgery, Zhejiang Normal University, Jinhua, 
      Zhejiang, 321004, China. Electronic address: jcm025@126.com.
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - India
TA  - Asian Pac J Trop Med
JT  - Asian Pacific journal of tropical medicine
JID - 101533720
SB  - IM
MH  - Adolescent
MH  - Adult
MH  - *Cardiac Surgical Procedures/adverse effects/methods/statistics & numerical data
MH  - Cardiopulmonary Bypass
MH  - Child
MH  - Child, Preschool
MH  - Female
MH  - Heart Defects, Congenital/surgery
MH  - Humans
MH  - Male
MH  - Minimally Invasive Surgical Procedures/adverse effects/methods/statistics & 
      numerical data
MH  - Postoperative Complications/epidemiology
MH  - Retrospective Studies
MH  - *Sternotomy/adverse effects/methods/statistics & numerical data
MH  - *Thoracotomy/adverse effects/methods/statistics & numerical data
MH  - Treatment Outcome
MH  - Young Adult
OTO - NOTNLM
OT  - Cardiopulmonary bypass
OT  - Congenital heart diseases
OT  - Minimally invasive surgery
OT  - Right subaxillary vertical thoracotomy
OT  - Traditional median sternotomy
EDAT- 2014/08/26 06:00
MHDA- 2015/04/17 06:00
CRDT- 2014/08/24 06:00
PHST- 2014/05/10 00:00 [received]
PHST- 2014/06/15 00:00 [revised]
PHST- 2014/07/15 00:00 [accepted]
PHST- 2014/08/24 06:00 [entrez]
PHST- 2014/08/26 06:00 [pubmed]
PHST- 2015/04/17 06:00 [medline]
AID - S1995-7645(14)60105-X [pii]
AID - 10.1016/S1995-7645(14)60105-X [doi]
PST - ppublish
SO  - Asian Pac J Trop Med. 2014 Aug;7(8):625-629. doi: 10.1016/S1995-7645(14)60105-X.