| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1986;41:492-497
© 1986 The Society of Thoracic Surgeons
Divisions of Cardiothoracic Surgery and Plastic and Reconstructive Surgery, Department of General Surgery, University of Pittsburgh, Pittsburgh, PA
Accepted for publication July 23, 1985.
* Address reprint requests to Dr. Cherup, Division of Plastic and Reconstructive Surgery, Scaife Hall, DeSoto St, Pittsburgh, PA 15213
Anterolateral and posterolateral thoracotomies, involving an incision through the third and fourth intercostal space, have been used for the repair of congenital heart lesions in children during the past thirty years.
We examined 28 patients who had undergone repair of atrial septal defect, patent ductus ateriosus, and coarctation of the aorta as children, through the anterolateral or posterolateral chest approach. Volumes of the breasts and pectoral muscles were obtained by a method using plaster molds, and linear dimensions of each chest side were measured. Questionnaires were completed that delineated the patients' perception of asymmetry of the chest. Infant breast tissue on cadavers was examined.
We conclude that standard anterolateral thoracotomies result in a high frequency of breast or pectoral maldevelopment; 60% of our patients had a greater than 20% difference in volume between the two sides. We propose a modified operative approach that we believe will reduce the frequency of maldevelopment.
This article has been cited by other articles:
|
|
 |
|
  Q. Wang, Q. Li, J. Zhang, Z. Wu, Q. Zhou, and D.-j. Wang Ventricular Septal Defects Closure Using a Minimal Right Vertical Infraaxillary Thoracotomy: Seven-Year Experience in 274 Patients Ann. Thorac. Surg., February 1, 2010; 89(2): 552 - 555. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 V. A. Sebastian, K. J. Guleserian, S. R. Leonard, and J. M. Forbess Ministernotomy for repair of congenital cardiac disease Interact CardioVasc Thorac Surg, November 1, 2009; 9(5): 819 - 821. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. A. Lawal, J.-H. Gosemann, J. F. Kuebler, S. Gluer, and B. M. Ure Thoracoscopy Versus Thoracotomy Improves Midterm Musculoskeletal Status and Cosmesis in Infants and Children Ann. Thorac. Surg., January 1, 2009; 87(1): 224 - 228. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. Mishaly, P. Ghosh, and S. Preisman Minimally Invasive Congenital Cardiac Surgery Through Right Anterior Minithoracotomy Approach Ann. Thorac. Surg., March 1, 2008; 85(3): 831 - 835. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 K. S. Mohamed Minimally Invasive Right Posterior Minithoracotomy for Open-Heart Procedures Asian Cardiovasc Thorac Ann, December 1, 2007; 15(6): 468 - 471. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A Goyal, M O Jones, J M Couriel, and P D Losty Oesophageal atresia and tracheo-oesophageal fistula. Arch. Dis. Child. Fetal Neonatal Ed., September 1, 2006; 91(5): F381 - F384. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 N. Durrleman and G. Massard Posterolateral thoracotomy MMCTS, January 1, 2006; 2006(0810): mmcts.2005.001453 - mmcts.2005.001453. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. S. Murala, R. Agarwal, and K. M. Cherian Effect of right anterolateral thoracotomy on breast development and scoliosis J. Thorac. Cardiovasc. Surg., June 1, 2005; 129(6): 1462 - 1462. [Full Text] [PDF]
|
|
|
|
|
|
K. Nishigaki, H. Nishi, Y. Kume, K. Kitabayashi, and K. Miyamoto Minimal Access via Lower Partial Sternotomy for Congenital Heart Defects Asian Cardiovasc Thorac Ann, March 1, 2005; 13(1): 42 - 46. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Bleiziffer, C. Schreiber, R. Burgkart, F. Regenfelder, M. Kostolny, P. Libera, K. Holper, and R. Lange The influence of right anterolateral thoracotomy in prepubescent female patients on late breast development and on the incidence of scoliosis J. Thorac. Cardiovasc. Surg., May 1, 2004; 127(5): 1474 - 1480. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y. Akcali, H. Demir, and B. Tezcan The effect of standard posterolateral versus Muscle-Sparing thoracotomy on multiple parameters Ann. Thorac. Surg., October 1, 2003; 76(4): 1050 - 1054. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
G. S Sunil, S. Koshy, S. Dhinakar, K. Shivaprakasha, and S. G Rao Limited Right Posterior Thoracotomy Approach to Atrial Septal Defect Asian Cardiovasc Thorac Ann, September 1, 2002; 10(3): 240 - 243. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
N. Yoshimura, M. Yamaguchi, Y. Oshima, S. Oka, Y. Ootaki, and M. Yoshida Repair of atrial septal defect through a right posterolateral thoracotomy: a cosmetic approach for female patients Ann. Thorac. Surg., December 1, 2001; 72(6): 2103 - 2105. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
U. Abdel-Rahman, G. Wimmer-Greinecker, G. Matheis, A. Klesius, U. Seitz, R. Hofstetter, and A. Moritz Correction of simple congenital heart defects in infants and children through a minithoracotomy Ann. Thorac. Surg., November 1, 2001; 72(5): 1645 - 1649. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
X. Yang, D. Wang, and Q. Wu Repair of atrial septal defect through a minimal right vertical infra-axillary thoracotomy in a beating heart Ann. Thorac. Surg., June 1, 2001; 71(6): 2053 - 2054. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. Formigari, R. M. Di Donato, E. Mazzera, A. Carotti, G. Rinelli, F. Parisi, L. Pasquini, and L. Ballerini Minimally invasive or interventional repair of atrial septal defects in children: experience in 171 cases and comparison with conventional strategies J. Am. Coll. Cardiol., May 1, 2001; 37(6): 1707 - 1712. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C. Hagl, U. Stock, A. Haverich, and G. Steinhoff Evaluation of Different Minimally Invasive Techniques in Pediatric Cardiac Surgery : Is a Full Sternotomy Always a Necessity? Chest, February 1, 2001; 119(2): 622 - 627. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
Y.-l. Liu, H.-j. Zhang, H.-s. Sun, S.-j. Li, J. Yan, J.-w. Su, and C.-t. Yu Repair of cardiac defects through a shorter right lateral thoracotomy in children Ann. Thorac. Surg., September 1, 2000; 70(3): 738 - 741. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. P. Bichell, T. Geva, E. A. Bacha, J. E. Mayer, R. A. Jonas, and P. J. del Nido Minimal access approach for the repair of atrial septal defect: the initial 135 patients Ann. Thorac. Surg., July 1, 2000; 70(1): 115 - 118. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. C. Laussen, D. P. Bichell, F. X. McGowan, D. Zurakowski, D. R. DeMaso, and P. J. del Nido Postoperative recovery in children after minimum versus full-length sternotomy Ann. Thorac. Surg., February 1, 2000; 69(2): 591 - 596. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
K. Shivaprakasha, K. S. Murthy, R. Coelho, R. Agarwal, S. G. Rao, C. Planche, and K. M. Cherian Role of limited posterior thoracotomy for open-heart surgery in the current era Ann. Thorac. Surg., December 1, 1999; 68(6): 2310 - 2313. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. T. Cremer, A. Boning, M. B. Anssar, P. Y. Kim, K. Pethig, W. Harringer, and A. Haverich Different approaches for minimally invasive closure of atrial septal defects Ann. Thorac. Surg., June 1, 1999; 67(6): 1648 - 1652. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Pasha and M. A. Cheema Right Anterolateral Thoracotomy for Repair of Atrial Septal Defects in Young Female Patients Asian Cardiovasc Thorac Ann, March 1, 1999; 7(1): 46 - 48. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
J. H. Khan, D. B. McElhinney, V. M. Reddy, and F. L. Hanley Repair of secundum atrial septal defect: limiting the incision without sacrificing exposure Ann. Thorac. Surg., October 1, 1998; 66(4): 1433 - 1435. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. D. Black and R. M. Freedom Minimally Invasive Repair of Atrial Septal Defects Ann. Thorac. Surg., March 1, 1998; 65(3): 765 - 767. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
M. Massetti, G. Babatasi, A. Rossi, E. Neri, S. Bhoyroo, S. Zitouni, P. Maragnes, and A. Khayat Operation for Atrial Septal Defect Through a Right Anterolateral Thoracotomy: Current Outcome Ann. Thorac. Surg., October 1, 1996; 62(4): 1100 - 1103. [Abstract] [Full Text]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
