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Midaxillary lateral thoracotomy for closure of atrial septal defects in pre-pubescent female children: reappraisal of an “old technique”

Published online by Cambridge University Press:  24 May 2005

Christian Schreiber ,
Sabine Bleiziffer  and
Rüdiger Lange
Christian Schreiber
Affiliation:
Clinic of Cardiovascular Surgery, German Heart Center Munich at the Technical University, Munich, Germany
Sabine Bleiziffer
Affiliation:
Clinic of Cardiovascular Surgery, German Heart Center Munich at the Technical University, Munich, Germany
Rüdiger Lange
Affiliation:
Clinic of Cardiovascular Surgery, German Heart Center Munich at the Technical University, Munich, Germany
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Abstract

Our long-term follow-up has revealed that symmetrical development of the breasts is significantly impaired in pre-pubescent female patients subsequent to an anterolateral thoracotomy. Although standard posterolateral and anterolateral right-sided thoracotomies are used for correction of “simple” cardiac lesions such as patency of the arterial duct, coarctation of the aorta, or atrial septal defect, the required partial transection of large muscle groups, and injury to the developing tissues of the breast, may contribute to an unfavourable cosmetic outcome. Over the years, many surgeons, mostly specialising in thoracic procedures, have advocated mini- or axillary thoracotomies. In an attempt to improve surgical and cosmetic outcome, we have now adopted such a muscle-sparing approach, using a small horizontal midaxillary incision. We have now successfully employed the technique to close atrial septal defects in the oval fossa in 17 pre-pubescent females.

Keywords

Minimal invasive cardiac surgeryposterolateral thoracotomyanterolateral thoracotomy
Type
Brief Report
Information
Cardiology in the Young , Volume 13 , Issue 6 , December 2003 , pp. 565 - 567
Copyright
© 2003 Cambridge University Press

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