Right submammary minithoractomy for repair of congenital heart defects

A. Giamberti, E. Mazzera, L. Di Chiara, E. Ferretti, L. Pasquini, R. M. Di Donato

Research output: Contribution to journalArticle

14 Citations (Scopus)

Abstract

Objective: The initial experience with the right submammary minithoracotomy incision for correction of intracardiac congenital defects is reported. Methods: Between March 1997 and March 1999, 100 children underwent repair of congenital heart disease through this approach. Their mean age and weight were 4.6 years and 20 kg, respectively. Diagnosis included: atrial septal defect (78), ventricular septal defect (7), tetralogy of Fallot (6), partial atrioventricular canal (5), double-chambered right ventricle (3) and single ventricle with dextrocardia (1). The standard technique entailed a 5 to 6 cm right submammary incision, entering the chest through the third or fourth intercostal space (depending on the body weight), direct aortic and bicaval cannulation and aortic cross-clamping with cardioplegic protection. Results: There were no hospital deaths. Postoperative morbidity included bleeding in two cases, recurrent atrial septal defect in one, spleen injury in one. The average hospital stay was 3.5 days. All patient are currently free of symptoms and medications. Conclusions: (1) This approach for repair of selected congenital cardiac malformations is technically feasible, safe and effective; (2) younger age is a facilitating factor; (3) hospital stays are effectively reduced. (C) 2000 Elsevier Science B.V.

Original languageEnglish
Pages (from-to)678-682
Number of pages5
JournalEuropean Journal of Cardio-thoracic Surgery
Volume18
Issue number6
DOIs
Publication statusPublished - 2000

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Atrial Heart Septal Defects
Congenital Heart Defects
Length of Stay
Dextrocardia
Tetralogy of Fallot
Ventricular Heart Septal Defects
Constriction
Catheterization
Heart Ventricles
Heart Diseases
Thorax
Spleen
Body Weight
Hemorrhage
Morbidity
Weights and Measures
Wounds and Injuries
Partial atrioventricular canal

Keywords

  • Congenital heart defects
  • Minimally invasive surgery, Thoracotomy

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

Cite this

Right submammary minithoractomy for repair of congenital heart defects. / Giamberti, A.; Mazzera, E.; Di Chiara, L.; Ferretti, E.; Pasquini, L.; Di Donato, R. M.

In: European Journal of Cardio-thoracic Surgery, Vol. 18, No. 6, 2000, p. 678-682.

Research output: Contribution to journalArticle

Giamberti, A. ; Mazzera, E. ; Di Chiara, L. ; Ferretti, E. ; Pasquini, L. ; Di Donato, R. M. / Right submammary minithoractomy for repair of congenital heart defects. In: European Journal of Cardio-thoracic Surgery. 2000 ; Vol. 18, No. 6. pp. 678-682.
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