ISSN : 1301-5680
e-ISSN : 2149-8156
TURKISH JOURNAL OF
THORACIC AND
CARDIOVASCULAR SURGERY
Turkish Journal of Thoracic and Cardiovascular Surgery     
Atrial septal defect closure via right mini-thoracotomy: Our single center experience
İrfan Taşoğlu1, Tuğba Avcı1, Serhat Koca2, Ayşenur Paç2, Ahmet Kuddusi İrdem1, Ardit Collaku1, Denizhan Bağrul2, Mustafa Paç1
1Departments of Pediatric Cardiovascular Surgery, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
2Departments of Pediatric Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
DOI : 10.5606/tgkdc.dergisi.2017.14393
Background: In this article, we report our experience with repair of atrial septal defects through central cannulation and a right mini-thoracotomy.

Methods: A total of 148 patients (93 females, 55 males; mean age 15.7 years; range 1.5 to 50 years) underwent atrial septal defect closure via right mini-thoracotomy between January 2013 and June 2016. Right mini-thoracotomy incision localization was determined according to patients’ age and gender. Central aortic and bicaval cannulation was performed in all the patients. The mean length of the skin incision was 5±1 cm in the patients under 13 years of age and 6±1.5 cm in the patients over 13 years of age and 7.5 cm in adolescents. Atrial septal defects were successfully closed through a right mini-thoracotomy in all patients (3 tricuspid regurgitation, 17 partial anomalous pulmonary venous connection, and, 2 Scimitar syndrome).

Results: Mortality was seen in none of the patients. No intraoperative urgent sternotomy or femoral cannulation was required. The mean cardiopulmonary bypass time was 38±8.2 min, while the mean aortic cross-clamp time was 16±3.8 min and the mean time of surgery was 124±11.3 min. The mean intensive care unit stay was 22 hours and duration of hospital stay was 4 to 6 days. Hemodynamically non-significant residual atrial septal defects were detected on echocardiography in four patients (3.25%).

Conclusion: We consider that right mini-thoracotomy with submammary skin incision for the correction of atrial septal defects is a safe and effective technique with improved cosmetic results.

Keywords : Atrial septal defect; congenital heart disease; cosmesis; minimally invasive
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