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Midterm Results Of Minimal Invasive Right Vertical Thoracotomy For Repair Of Congenital Heart Defects
Kamran Ahmadov, Kamran Musayev.
Merkezi Klinika, Baku, Azerbaijan.
BACKGROUND: This study assesses the midterm results of a minimal invasive right vertical thoracotomy approach for repairing various congenital heart defects in the pediatric population in Azerbaijan
METHODS: We performed a retrospective review on consecutive pediatric patients who underwent repair of congenital heart defects using the minimal invasive right vertical thoracotomy approach between April 2022 and December 2024 at our institution. The study involved a total of 85 patients, including 58 with atrial septal defect (ASD), 10 with ventricular septal defect, 6 with sinus venosus type ASD with partial anomalous pulmonary venous drainage (PAPVD), 7 with atrioventricular septal defect (3 partial type, 3 intermediate type and 1 complete type) and 4 patients with divers defects.
RESULTS: The median age was 6 years (range: 6 months - 13 years) and median weight was 15.5 kg (8-41 kg). The median hospital stay was 4.6 days, with median cardiopulmonary and cross-clamp times of 46 and 22 minutes, respectively. No in-hospital deaths or conversions to median sternotomy occurred. One patient (sinus venosus type ASD + PAPVD) experienced transient atrioventricular block, resolved on the 1st postoperative day with a return to normal sinus rhythm. No late deaths or reoperations occurred during follow-up, and there were no surgery-related thoracic deformities or breast asymmetry noted. The incision ranged from 3.0 to 5.0 cm in all patients.
CONCLUSIONS: The minimal invasive right vertical thoracotomy approach can be safely employed for a broad spectrum of congenital heart defects, yielding excellent cosmetic results with small "invisible" scar. It stands as a good alternative to median sternotomy in selected patients.
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