Atrial septal defect repair through limited lateral thoracotomy in children

Abstract

We have developed a surgical method for atrial septal defect repair through a limited right lateral thoracotomy in which the incision line begins 2 cm caudal from the lower angle of the scapula and ends at the midaxial line, thereby improving patient satisfaction with the cosmetic results of treatment. We performed a retrospective review of 28 patients who underwent isolated atrial septal defect repair through a limited right lateral thoracotomy between January 2002 and August 2004. The mean age and mean body weight at the time of the operation were 85.8 months (range 9-236 months) and 23.0 kg (range 8.0-56.0 kg), respectively. All repaired defects were the ostium secundum type. There was no operative or late mortality and no late morbidity after a mean follow-up of 26 months (range 12-41 months). Echocardiography showed no residual shunt in any of the patients. The mean length of the skin incision was 7.8 cm (range 5.0-11.0 cm), and almost all the patients had satisfactory cosmetic results. The atrial septal defect repair through a limited right lateral thoracotomy in pediatric patients showed satisfactory surgical results and excellent cosmetic results.