دورية أكاديمية
Horizontal right axillary minithoracotomy: aesthetic and effective option for atrial and ventricular septal defect repair in infants and toddlers.
| العنوان: | Horizontal right axillary minithoracotomy: aesthetic and effective option for atrial and ventricular septal defect repair in infants and toddlers. |
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| المؤلفون: | Silva Lda F; Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil., Silva JP; Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP, Brazil., Turquetto AL; Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP, Brazil., Franchi SM; Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP, Brazil., Cascudo CM; Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP, Brazil., Castro RM; Hospital Beneficência Portuguesa de São Paulo, São Paulo, SP, Brazil., Gomes WJ; Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil., Schreiber C; Department of Cardiovascular Surgery, German Heart Center Munich at the Technical, University Munich, Munich, Germany. |
| المصدر: | Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular [Rev Bras Cir Cardiovasc] 2014 Apr-Jun; Vol. 29 (2), pp. 123-30. |
| نوع المنشور: | Evaluation Study; Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sociedade Brasileira de Cirurgia Cardiovascular Country of Publication: Brazil NLM ID: 9104279 Publication Model: Print Cited Medium: Internet NLM ISO Abbreviation: Rev Bras Cir Cardiovasc Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: São Paulo, SP, Brasil : Sociedade Brasileira de Cirurgia Cardiovascular |
| مواضيع طبية MeSH: | Axilla/*surgery , Heart Septal Defects, Atrial/*surgery , Heart Septal Defects, Ventricular/*surgery , Thoracotomy/*methods, Blood Transfusion/methods ; Chi-Square Distribution ; Child ; Child, Preschool ; Cicatrix/prevention & control ; Esthetics ; Female ; Humans ; Infant ; Male ; Reproducibility of Results ; Sternotomy/methods ; Treatment Outcome |
| مستخلص: | Introduction: Congenital heart defects treatment shows progressive reduction in morbidity and mortality, however, the scar, resulting from ventricular (VSD) and atrial septal defect (ASD) repair, may cause discomfort. Right axillary minithoracotomy approach, by avoiding the breast growth region, is an option for correction of these defects that may provide better aesthetic results at low cost. Since October 2011, we have been using this technique for repairing VSD and ASD defects as well as associated defects. Objectives: To evaluate the efficacy of this method in children undergoing correction of VSD and ASD, to compare perioperative clinical outcomes with those repaired by median sternotomy, and to evaluate the aesthetic result. Methods: Perioperative clinical data of 25 patients submitted to axillary thoracotomy were compared with data from a paired group of 25 patients with similar heart defects repaired by median sternotomy, from October 2011 to August 2012. Results: Axillary approach was possible even in infants. There was no mortality and the main perioperative variables were similar in both groups, except for lower use of blood products in the axillary group (6/25) vs. control (13/25), with statistical difference (P =0.04). The VSD size varied from 7 to 15 mm in axillary group. Cannulation of the aorta and vena cavae was performed through the main incision, whose size ranged from 3 to 5 cm in the axillary group, with excellent aesthetic results. Conclusion: The axillary thoracotomy was effective, allowing for a heart defect repair similar to the median sternotomy, with more satisfactory aesthetic results and reduced blood transfusion, and it can be safely used in infants. |
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| تواريخ الأحداث: | Date Created: 20140821 Date Completed: 20150723 Latest Revision: 20211021 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC4389452 |
| DOI: | 10.5935/1678-9741.20140028 |
| PMID: | 25140460 |
| قاعدة البيانات: | MEDLINE |
| DOI: | 10.5935/1678-9741.20140028 |
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