ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
Full sternotomy with limited skin incision for surgical treatment of atrial septal defect
İrfan Taşoğlu1, Doğan Emre Sert1, Aslı Demir2, Serpil Şahin1, Ahmet Vedat Kavurt3, Feyza Ayşenur Paç3, Mustafa Paç1
1Departments of Cardiovascular Surgery, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
2Departments of Anesthesiology and Reanimation, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
3Departments of Pediatric Cardiology, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey
DOI : 10.5606/tgkdc.dergisi.2012.142
Background: In this study, we report our experience with repair of atrial septal defects utilizing a minimally invasive surgical approach.

Methods: A full median sternotomy with mini skin incision was used in 29 patients (24 females, 5 males; median age 8 years; range 4 to 19 years) between November 2008 and August 2010. A midline chest incision was typically terminated at or near the nipple line, measuring approximately 6 cm in children and 7.5 cm in adolescents. Atrial septal defect was successfully treated through a mini skin incision in 27 patients. Skin incision was unavoidably enlarged in two patients due to technical challenges.

Results: None of the patients died and full skin incision was not performed. The mean cardiopulmonary bypass time was 57 minutes, while the mean aortic cross-clamp time was 35 minutes. The length of intensive care unit stay ranged from 1 to 2 days and the length of hospital stay ranged from 3 to 6 days (median hospital stay, 4 days). No reintervention for residual cardiac defects was required.

Conclusion: We consider that full median sternotomy with limited skin incision for the correction of atrial septal defects is safe and effective with improved cosmetic results.

Keywords : Atrial septal defect; congenital heart surgery; cosmetic; ministernotomy; sternotomy
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