Szarnicki R J, Stark J, de Leval M
Ann Thorac Surg. 1978 Feb;25(2):150-4. doi: 10.1016/s0003-4975(10)63509-6.
A right anterolateral thoracotomy through the fifth or sixth intercostal space is described as an easier approach for reoperations after the Mustard procedure for transportation of the great arteries. Advantages of this approach compared with repeated sternotomy include easier cannulation of the superior and inferior vena cava; less extensive dissection of adhesions, resulting in decreased postoperative bleeding; reduced risk of injury to the coronary asteries and the right phrenic nerve; and improved exposure of intracardiac pathways and the tricuspid valve.
经第五或第六肋间进行右前外侧开胸术被描述为大动脉调转术（Mustard手术）后再次手术的一种更简便的入路。与重复胸骨切开术相比，这种入路的优点包括上、下腔静脉插管更容易；粘连分离范围较小，从而减少术后出血；冠状动脉和右膈神经损伤风险降低；以及改善心内路径和三尖瓣的暴露。
