این سایت در حال حاضر پشتیبانی نمی شود و امکان دارد داده های نشریات بروز نباشند
Iranian Heart Journal، جلد ۹، شماره ۱، صفحات ۲۹-۳۳
عنوان فارسی
چکیده فارسی مقاله
کلیدواژه‌های فارسی مقاله
عنوان انگلیسی Right Anterolateral Thoracotomy as an Alternative to Median Sternotomy for Repair of Atrial Septal Defect: A Cosmetic Approach for Female Patients
چکیده انگلیسی مقاله Background- Atrial septal defect (ASD) operation is a safe and low-risk procedure. Cosmetic results have been an
important issue, so right anterolateral thoracotomy (RALT) approach has been used for repair. However, in
RALT, the skin incision usually crosses the future breast line, which may cause breast mal-development.
Method- We reviewed the long-term results of a consecutive series of 406 patients from 1997- 2005 in whom the ASD
was closed through a RALT or median sternotomy (MS) incision. 190 patients were male and 216 were
female, with a mean age of 8.2±3.9 years. Defects repaired included 383ASDsecundum (ASD 2º) and 23 ASD
sinus venosus type (ASD-SV). In 316 patients (77.8%), the defect was closed through MS, and 90 patients
(22.2%) underwent RALT for repair.
Result- The mean cardiopulmonary bypass time (CPB time) was 37.0±10 min. for MS vs. 40±11 min. for RALT
(p=0.9, NS). Intubation time after operation was 9.0±5 hrs for MS and 8.1 ±7.1 hr in RALT (p=0.8, NS).
Postoperative drainage was 119mL (range, 0-1100mL) for MS and 94mL (range, 0-500mL) in RALT (p=0.1,
NS). Postoperative pleural/pericardial effusion and pneumothorax occurred in 2.1% of patients in MS and
6.6% in RALT group (p= 0.001). There was no operative or late mortality, morbidity or breast maldevelopment
in the long-term follow-up (range, 6 m -10 y, mean 4 yrs).
Conclusion- RALT is a safe and effective alternative approach to MS incision for ASD closure (Iranian Heart
Journal 2008; 9 (1): 29-33).
کلیدواژه‌های انگلیسی مقاله atrial septal defect ■ right anterolateral thoracotomy ■ cardiac surgery ■ median sternotomy
نویسندگان مقاله
نشانی اینترنتی http://journal.iha.org.ir/article_182390_e7808fc97ff96edb5e54cc881ad5d1e5.pdf
فایل مقاله فایلی برای مقاله ذخیره نشده است
کد مقاله (doi)
زبان مقاله منتشر شده en
موضوعات مقاله منتشر شده
نوع مقاله منتشر شده
برگشت به: صفحه اول پایگاه   |   نسخه مرتبط   |   نشریه مرتبط   |   فهرست نشریات