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Limited Right Posterior Thoracotomy Approach to Atrial Septal Defect

Division of Pediatric Cardiac Surgery Amrita Institute of Medical Sciences and Research Centre Cochin, Kerala, India
For reprint information contact: Suresh G Rao, MCh Tel: 91 484 33 9080 Fax: 91 484 34 0801 email: sureshgrao{at}aimshospital.org Division of Pediatric Cardiac Surgery, Amrita Institute of Medical Sciences and Research Centre, Amrita Lane, Elamakkara, Cochin, Kerala 682026, India.

Experience of atrial septal defect closure via a limited posterior thoracotomy is described. From July 1999 to May 2001, 75 prepubertal girls with a median age of 7 years (range, 3 to 13 years) and a median weight of 18 kg (range, 10 to 46 kg) underwent atrial septal defect closure through a limited right posterior thoracotomy. All but 2 patients had an uneventful postoperative recovery. The median duration of ventilation was 13.3 hours (range, 4 to 24 hours). Median hospital stay was 6 days (range, 6 to 8 days). All patients were followed up for 7 to 32 months (mean, 15 months). The wounds healed well without any restriction of limb movement. The limited posterior thoracotomy gave excellent cosmetic results and can be used as a safe alternative approach for atrial septal defect closure in prepubertal females.

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