RIGHT MINITHORACOTOMY: IS IT GOING TO BE THE ROUTINE APPROACH FOR SECUNDUMASD SURGICAL CLOSURE?
Eldin Hussien, A., Zayed, M., Mohanad, A., Hosny, R. (2022). RIGHT MINITHORACOTOMY: IS IT GOING TO BE THE ROUTINE APPROACH FOR SECUNDUMASD SURGICAL CLOSURE?. EKB Journal Management System, 73(2), 391-400. doi: 10.21608/asmj.2022.252728
Aly Emad Eldin Hussien; Mohamed Zayed; Ahmed Mohanad; Rasha Hosny. "RIGHT MINITHORACOTOMY: IS IT GOING TO BE THE ROUTINE APPROACH FOR SECUNDUMASD SURGICAL CLOSURE?". EKB Journal Management System, 73, 2, 2022, 391-400. doi: 10.21608/asmj.2022.252728
Eldin Hussien, A., Zayed, M., Mohanad, A., Hosny, R. (2022). 'RIGHT MINITHORACOTOMY: IS IT GOING TO BE THE ROUTINE APPROACH FOR SECUNDUMASD SURGICAL CLOSURE?', EKB Journal Management System, 73(2), pp. 391-400. doi: 10.21608/asmj.2022.252728
Eldin Hussien, A., Zayed, M., Mohanad, A., Hosny, R. RIGHT MINITHORACOTOMY: IS IT GOING TO BE THE ROUTINE APPROACH FOR SECUNDUMASD SURGICAL CLOSURE?. EKB Journal Management System, 2022; 73(2): 391-400. doi: 10.21608/asmj.2022.252728

RIGHT MINITHORACOTOMY: IS IT GOING TO BE THE ROUTINE APPROACH FOR SECUNDUMASD SURGICAL CLOSURE?

Ain Shams Medical Journal
Article 13, Volume 73, Issue 2, June 2022, Page 391-400  XML PDF (404.22 K)
Document Type: Original Article
DOI: 10.21608/asmj.2022.252728
View on SCiNiTO View on SCiNiTO
Authors
Aly Emad Eldin Hussien1; Mohamed Zayed1; Ahmed Mohanad2; Rasha Hosny3
1Cardiac Surgery Department, National Heart Institute (NHI), Cairo, Egypt.
2Cardiology Department, National Heart Institute (NHI), Cairo, Egypt.
3Anathesisa Department, National Heart Institute (NHI), Cairo, Egypt.
Abstract
Background: Ostium secundum ASD used to be surgically closed using the standard median sternotomy, Improvement in surgical techniques encouraged many surgeons to use minimally invasive approaches as an alternative to the conventional one.
Aim of the work: To evaluate the outcome and effectiveness of the right anterior thoracotomy approach as an alternative for the median sternotomy for surgical repair of secundum ASD.
Methods: This is a prospective observational study done on 50 adult patients diagnosed with ASD of ostium secundum type, indicated for surgery and not amenable to device closure. They were divided into two equal groups: group I, represented 25 patient who underwent ASD repair through conventional median sternotomy (CMS), and group II represented 25 patients underwent right minithoracotomy (RMT). Comparison between groups was done regarding clamp time, bypass time, ventilation time and ICU and hospital stay.
Results: Our study showed that RMT patients had significantly smaller incision, less time of mechanical ventilation, less ICU and hospital stay, though having more bypass time when compared with the conventional median sternotomy. No operative or in hospital mortality with excellent patient satisfaction.
Conclusions: RMT used for surgical closure of secundum ASD is a safe and effective procedure showing many advantages over sternotomy, and can be used as a routine approach for such cases.
Keywords
ostium secundum; atrial septal defect; right mini thoracotomy; cardiac surgery; minimally invasive
Statistics
Article View: 184
PDF Download: 194