右前外侧开胸术用于房间隔缺损修补。

Right anterolateral thoracotomy for repair of atrial septal defect.

作者信息

Grinda J M, Folliguet T A, Dervanian P, Macé L, Legault B, Neveux J Y

机构信息

Départment de Chirugie Cardio-vasculaire et Cardiaque Pédiatrique, Hôpital Marie Lannelongue, Université Paris Sud, France.

出版信息

Ann Thorac Surg. 1996 Jul;62(1):175-8. doi: 10.1016/0003-4975(96)00182-8.

DOI:10.1016/0003-4975(96)00182-8

PMID:8678639

Abstract

BACKGROUND

To procure a cosmetic incision in female patients, we performed operation on atrial septal defects through a right anterolateral thoracotomy.

METHODS

From 1984 to 1994, 80 female patients with a mean age of 24 +/- 13 years (ranging from 12 to 62 years) underwent right anterolateral thoracotomy for atrial septal defect repairs. Defects repaired included 62 ostium secundum, 12 sinus venosus, 2 low septal defect, and 4 ostium primum. The right iliac external artery was systematically used for arterial cannulation, through a cosmetic incision. Repairs were always performed under fibrillation, except in the 4 ostium primum defects, for which cardioplegia was used.

RESULTS

There was no operative or late mortality, and no morbidity directly related to the thoracotomy approach.

CONCLUSIONS

The right thoracotomy incision appears to be a safe and effective alternative to median sternotomy for repair of atrial septal defects.

摘要

背景

为了在女性患者中获得美观的切口，我们通过右前外侧开胸术对房间隔缺损进行手术。

方法

1984年至1994年，80例平均年龄为24±13岁（12至62岁）的女性患者接受了右前外侧开胸术以修复房间隔缺损。修复的缺损包括62例继发孔型、12例静脉窦型、2例低位间隔缺损和4例原发孔型。通过美观的切口，系统地使用右髂外动脉进行动脉插管。除4例原发孔型缺损使用心脏停搏液外，其余修复均在房颤下进行。