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Right arrow Congenital - acyanotic
Asian Cardiovasc Thorac Ann 2002;10:240-243
© 2002 Asia Publishing EXchange Pte Ltd

ORIGINAL CONTRIBUTIONS

Limited Right Posterior Thoracotomy Approach to Atrial Septal Defect

Gopalraj S Sunil, MCh, Sajan Koshy, MCh, Seetharaman Dhinakar, MSc, Krishnanaik Shivaprakasha, MCh, Suresh G Rao, MCh

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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