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Corresponding Author

Wael Mohammed Abdelkawy Selim

Document Type

Original Article

Abstract

Background: For decades, traditional methods have been used to repair ASD through sternotomy; with the advancement of expertise, methods have been developed to simplify the repair through limited incision, such as anterolateral-mini-thoracotomy.

Aim of the study: Contrasting early outcomes of median-sternotomy versus anterolateral-thoracotomy technique.

Method: Our study was carried out within the Department of Cardiothoracic-Surgery, Al-Azhar University Hospital, Egypt.

Inclusion Criteria: Patients with ASD who urged surgical ASD repair were included in this study.

Results: Both groups shared comparable demographic and clinical characteristics, especially preoperative and intraoperative ones. However, the female patient count had significantly exceeded the male patient count in Group A (P value = .02 ). Moving to operative data, total bypass time was significantly lower in Group B as compared to Group A (p =.004) while Group A had significantly lower skin incision size (Cm) compared to Group A (p = 0.001). Regarding postoperative outcomes, ventilation time superiority was depicted by Group A as it showed significantly less ventilation time compared to the other group (P = .002). Conversely, Group B showed a significantly higher wound infection rate (4 cases) compared to Group A (0 cases) (P = .035). As a result, wound satisfaction was in favour of group A (93% of cases were satisfied) versus group b (13% of cases were satisfied) (P = .001).

Conclusion: The RALT technique is recommended for its superiority in terms of safety profile, cosmetical shape, minor trauma, and high efficacy.

Keywords

ASD; RALT; Atrial septal defect

Subject Area

Thoracic and cardiovascular surgery

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