Comparison between thoracotomy and sternotomy in repair of atrial septal defects

Methods: Between 1997 and 2003, a total of 87 patients (23 males, 64 females; mean age 24.3±12.6 years; range 2 to 63 years) underwent conventional sternotomy (n=45) or right anterior thoracotomy (n=42) for all types of atrial septal defects.Results: Compared with the sternotomy group, patients who received thoracotomy were mobilized earlier, required less analgesic therapy, and had a shorter intensive care unit stay and hospitalization.Conclusion: Our results suggest that right anterior thoracotomy may be a highly preferred approach in closure of atrial septal defects due to its favorable cosmetic results and a more rapid patient recovery.

📌 3 Key Takeaways

🎯

Objective & Hypothesis:Background: We evaluated the clinical results of different surgical strategies for atrial septal defect closure.

📊

Key Findings & Data:Background: We evaluated the clinical results of different surgical strategies for atrial septal defect closure.

💡

Conclusion & Impact:Methods: Between 1997 and 2003, a total of 87 patients (23 males, 64 females; mean age 24.3±12.6 years; range 2 to 63 years) underwent conventional sternotomy (n=45) or right anterior thoracotomy (n=42) for all types of atrial septal defects.Results: Compared with the sternotomy group, patients who received thoracotomy were mobilized earlier, required less analgesic therapy, and had a shorter intensive care unit stay and hospitalization.Conclusion: Our results suggest that right anterior thoracotomy may be a highly preferred approach in closure of atrial septal defects due to its favorable cosmetic results and a more rapid patient recovery.

🔬Design:Research Article

📍Scope:2003 Verileri

⚙️Variables:Domain Parameters

Abstract

Background: We evaluated the clinical results of different surgical strategies for atrial septal defect closure. Methods: Between 1997 and 2003, a total of 87 patients (23 males, 64 females; mean age 24.3±12.6 years; range 2 to 63 years) underwent conventional sternotomy (n=45) or right anterior thoracotomy (n=42) for all types of atrial septal defects.Results: Compared with the sternotomy group, patients who received thoracotomy were mobilized earlier, required less analgesic therapy, and had a shorter intensive care unit stay and hospitalization.Conclusion: Our results suggest that right anterior thoracotomy may be a highly preferred approach in closure of atrial septal defects due to its favorable cosmetic results and a more rapid patient recovery.

Özet

Amaç: Farklı cerrahi stratejilerle gerçekleştirilen atriyal septal defekt onarımının klinik sonuçları karşılaştırıldı. Çalışma planı: 1997-2003 yılları arasında atriyal septal defekt onarımı için konvansiyonel sternotomi (n=45) ve sağ anterior torakotomi (n=42) yaklaşımıyla ameliyat edilen 87 hastanın (23 erkek, 64 kadın; ort. yaş 24.3±12.6; dağılım 2- 63) verileri geriye dönük olarak değerlendirildi.Bulgular: Torakotomi yapılan gruptaki hastaların daha erken mobilize oldukları, daha az analjezik tedavi ihtiyacı gösterdikleri, yoğun bakım ve hastane kalış sürelerinin daha kısa olduğu saptandı.Sonuç: Bulgularımız, sağ anterior torakotominin yalnızca olumlu kozmetik sonuçları nedeniyle değil, hasta iyileşmesine olan katkısıyla da atriyal septal defektlerin onarımında ilk sıralarda tercih edilecek bir yöntem olduğunu gösterdi.

🔖

Cite This Article

POLAT, A., KIRALİ, K., TUNCER, A., SAREYYÜPOĞLU, B., ERENTUĞ, V., AKINCI, E., YAKUT, C., İPEK, G., ERDOĞAN, H. B. (2022). Comparison between thoracotomy and sternotomy in repair of atrial septal defects. Türk Göğüs Kalp Damar Cerrahisi Dergisi, Cilt: 13 - Sayı: 4, 335–339. https://ajindex.com/articles/425313

📄 Full Text PDF Viewer

Open in New Tab ↗

↗New Tab

📄

PDF görüntüleyici hazırlanıyor...

References (12)

Yoshimura N, Yamaguchi M, Oshima Y, Oka S, Ootaki Y, Yoshida M. Repair of atrial septal defect through a right posterolateral thoracotomy: a cosmetic approach for female patients. Ann Thorac Surg 2001;72:2103-5
Dabritz S, Sachweh J, Walter M, Messmer BJ. Closure of atrial septal defects via limited right anterolateral thoracotomy as a minimal invasive approach in female patients. Eur J Cardiothorac Surg 1999;15:18-23
Luo W, Chang C, Chen S. Ministernotomy versus full sternotomy in congenital heart defects: a prospective randomized study. Ann Thorac Surg 2001;71:473-5
Dağlar B, İpek G, Kiralı K, Gürbüz A, Berki T, Balkanay M ve ark. Median sternotomi için submamarian insizyonla kozmetik yaklaşım. Haydarpaşa Kardiyoloji ve Kardiyovasküler Cerrahi Bülteni 1996;4:97-9
Erentuğ V, Sareyyüpoğlu B, Göksedef D, Kırali K, Güler M, İpek G ve ark. Bayan Hastalarda Sağ Anterior Torakotomi ile Atrial Septal Defekt Onarımı. Türk Göğüs Kalp Damar Cer Derg 2005;13:99-102
Lloyd TR, Rao PS, Beekman RH 3rd, Mendelsohn AM, Sideris EB. Atrial septal defect occlusion with the buttoned device (a multi institutional U.S. trial). Am J Cardiol 1994;73:286-91
Berdat PA, Chatterjee T, Pfammatter JP, Windecker S, Meier B, Carrel T. Surgical management of complications after transcatheter closure of an atrial septal defect or patent foramen ovale. J Thorac Cardiovasc Surg 2000; 120:1034-9
Kırali K, Güler M, Akıncı E, Mansuroğlu D, İpek G, Yakut C. VATS ve/veya minitoraktomi ile yaptığımız CABG dışı kardiyak ve nonkardiyak cerrahi girişimler. Göğüs Kalp Damar Cer Derg 1998;6:301-5
Abdel-Rahman U, Wimmer-Greinecker G, Matheis G, Klesius A, Seitz U, Hofstetter R, et al. Correction of simple congenital heart defects in infants and children through a mithoracotomy. Ann Thorac Surg 2001;72:1645-9
Nicholson IA, Bichell DP, Bacha EA, del Nido PJ. Minimal ternotomy approach for congenital heart operations. Ann Thorac Surg 2001;71:469-72. 11. van de Wai HJ, Barbero-Marcial M, Hulin S, Lecompte Y. Tardiac surgery by transxiphoid approach without sternotomy. Eur J Cardiothorac Surg 1998;13:551-4
Lancaster LL, Mavroudis C, Rees AH, Slater AD, Ganzel BL Gray LA Jr. Surgical approach to atrial septal defect in the'female. Right thoracotomy versus sternotomy. Am Surg 1990;56:218-21
Massetti M, Babatasi G, Rossi A, Neri E, Bhoyroo S, Zitouni S et al. Operation for atrial septal defect through a right anterolateral thoracotomy: current outcome. Ann Thorac