Surgical approach to atrial septal defect in the female. Right thoracotomy versus sternotomy

L. L. Lancaster, Constantine Mavroudis, A. H. Rees, A. D. Slater, B. L. Ganzel, L. A. Gray

Research output: Contribution to journalArticle

Abstract

Repair of atrial septal defect (ASD) remains a high-benefit, low-risk procedure due to technologic improvements. From July 1981 to December 1986, 35 females (age, 7 months to 28 years) had repair of ASD; 20 by right thoracotomy and aortic cannulation (group 1) and fifteen by median sternotomy (group 2). In general, right thoracotomy was applied to patients with secundum ASD two years or older and without associated lesions, while median sternotomy was applied to patients with ostium primum lesions and/or associated lesions. Patients or their families perceived the cosmetic results superior to the right thoracotomy approach over the median sternotomy. We feel that a right thoracotomy and aortic cannulation is effective in females (2 years and older) with secundum ASD for a superior cosmetic result over median sternotomy. However, females with ostium primum and/or associated lesions should undergo median sternotomy for better cardiac access and safety.

Original languageEnglish (US)
Pages (from-to)218-221
Number of pages4
JournalAmerican Surgeon
Volume56
Issue number4
StatePublished - Jan 1 1990
Externally publishedYes

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Sternotomy
Atrial Heart Septal Defects
Thoracotomy
Cosmetics
Catheterization
Safety

ASJC Scopus subject areas

  • Surgery

Cite this

Lancaster, L. L., Mavroudis, C., Rees, A. H., Slater, A. D., Ganzel, B. L., & Gray, L. A. (1990). Surgical approach to atrial septal defect in the female. Right thoracotomy versus sternotomy. American Surgeon, 56(4), 218-221.

Surgical approach to atrial septal defect in the female. Right thoracotomy versus sternotomy. / Lancaster, L. L.; Mavroudis, Constantine; Rees, A. H.; Slater, A. D.; Ganzel, B. L.; Gray, L. A.

In: American Surgeon, Vol. 56, No. 4, 01.01.1990, p. 218-221.

Research output: Contribution to journalArticle

Lancaster, LL, Mavroudis, C, Rees, AH, Slater, AD, Ganzel, BL & Gray, LA 1990, 'Surgical approach to atrial septal defect in the female. Right thoracotomy versus sternotomy', American Surgeon, vol. 56, no. 4, pp. 218-221.
Lancaster LL, Mavroudis C, Rees AH, Slater AD, Ganzel BL, Gray LA. Surgical approach to atrial septal defect in the female. Right thoracotomy versus sternotomy. American Surgeon. 1990 Jan 1;56(4):218-221.
Lancaster, L. L. ; Mavroudis, Constantine ; Rees, A. H. ; Slater, A. D. ; Ganzel, B. L. ; Gray, L. A. / Surgical approach to atrial septal defect in the female. Right thoracotomy versus sternotomy. In: American Surgeon. 1990 ; Vol. 56, No. 4. pp. 218-221.
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