Korean J Thorac Cardiovasc Surg.
1999 Sep;32(9):823-826.
The Clamshell Incision for the Complete Repair in Pulmonary Atresia with Ventricular Septal Defect , and Major Aortopulmonary Collaterals
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, and School of Medicine, SungKyunKwan Universtiy.
- 2Department of Thoracic and Pediatrics Samsung Medical Center School of Medicine, SungKyunKwan Universtiy.
Abstract
- A 6-month old girl who had pulmonary atresia with ventricular septal defect and major aortopulmonary collaterals underwent one-stage complete repair with unifocalization through a bilateral thoracosternotomy(clamshell incision). There were no serious postoperative compli cations, and the postoperative echocardio-graphy showed no residual ventricular septal defect or significant pulmonary artery stenosis. In this condition, great surgical variability exists regarding the sources of pulmonary blood flow. Recent clinical work has focused on a one-stage complete repair. The potential advantages of the clamshell incision are apparent in terms of mediastinal approach, postoperative results, and safety.
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