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Right Anterolateral Thoracotomy for Cardiac Surgery in the Adult / 대한흉부외과학회지
The Korean Journal of Thoracic and Cardiovascular Surgery ; : 722-725, 1999.
Article in Korean | WPRIM | ID: wpr-150588
ABSTRACT

BACKGROUND:

To secure a rapid and safe approach which is at the same time cosmetically appealing, we employed the right anterolateral thoracotomy incision for repair of atrial septal defects and valvular heart diseases in the adult. MATERIAL AND

METHOD:

Between October 1989 and June 1998, 44 adult patients underwent open heart surgery through right anterolateral thoracotomy at our institution. Operative time, cardiopulmonary bypass time, aortic cross clamp time, blood loss until chest tube removal, length of ICU stay, days to discharge, and survival were compared with those that received cardiac surgery via conventional sternotomy.

RESULT:

No significant differences were observed between the two groups. There was no death and no additional morbidity directly related to this approach. Cosmetically satisfying results were obtained with safety using the right anterolateral thoracotomy approach.

CONCLUSION:

Our data show that the right anterolateral thoracotomy approach is a safe alternative to conventional median sternotomy as it offers excellent exposure and aesthetically more acceptable wounds while not adding on to the operative risks.
Subject(s)

Full text: Available Index: WPRIM (Western Pacific) Main subject: Thoracic Surgery / Wounds and Injuries / Thoracotomy / Cardiopulmonary Bypass / Chest Tubes / Sternotomy / Operative Time / Heart Septal Defects, Atrial / Heart Valve Diseases Limits: Adult / Humans Language: Korean Journal: The Korean Journal of Thoracic and Cardiovascular Surgery Year: 1999 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Thoracic Surgery / Wounds and Injuries / Thoracotomy / Cardiopulmonary Bypass / Chest Tubes / Sternotomy / Operative Time / Heart Septal Defects, Atrial / Heart Valve Diseases Limits: Adult / Humans Language: Korean Journal: The Korean Journal of Thoracic and Cardiovascular Surgery Year: 1999 Type: Article