NYMC Faculty Publications

Right Axillary Thoracotomy Should Be the Standard of Care for Repair of Non-Complex Congenital Heart Defects in Infants and Children

Author Type(s)

Faculty

DOI

10.32604/chd.2024.055636

Journal Title

Congenital Heart Disease

First Page

407

Last Page

417

Document Type

Article

Publication Date

1-1-2024

Department

Surgery

Keywords

atrial septal defect, congenital heart disease, enhanced recovery, Minimally invasive repair, right axillary thoracotomy, ventricular septal defect

Disciplines

Medicine and Health Sciences

Abstract

Minimally invasive approaches for cardiac surgery in children have been lagging in comparison to the adult world. A wide range of the most common congenital heart defects in infants and children can be repaired successfully through a variety of non-sternotomy incisions. This has been shown to be associated with superior cosmetic results, shorter hospital stays, and rapid return to full activity compared to sternotomy. These approaches have been around for decades, but they have not been widely adopted for a variety of reasons. Right axillary thoracotomy is one of these approaches that we believe should be the new standard for the repair of a wide variety of heart defects in children and will be the focus of our current review.

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