Comparison of incisions and outcomes for closure of ventricular septal defects

Ann Thorac Surg. 2008 Jan;85(1):199-203. doi: 10.1016/j.athoracsur.2007.08.049.

Abstract

Background: Repair of ventricular septal defects (VSD) through a shorter right lateral thoracotomy has evolved for 10 years. However, outcomes of this surgery and patients' health-related quality of life have not been evaluated so far.

Methods: Four hundred eighty-eight patients aged 6 to 15 years who had undergone repair of VSD through a right thoracotomy were surveyed (right group) and 185 patients of the same age were surveyed who had undergone the repair through a median sternotomy (median group). Cardiopulmonary bypass, aortic cross-clamping and mechanical ventilation time, amount of drainage, postoperative hospital stay, and in-hospital mortality and morbidity were measured as short-term outcomes. Symptoms, physical signs, ultrasonic cardiogram, chest film, and electrocardiogram were followed up as long-term outcomes; and the patients' TNO-AZL Children's Quality of Life (TACQOL) were studied to evaluate their health-related quality of life. The TNO-AZL Children's Quality of Life (TACQOL) questionnaire is a 56-item child quality of life questionnaire designed by the TNO Institute of Prevention and Health and the Leiden University Hospital (TNO-AZL).

Results: Compared with the median group, the right group's short- and long-term outcomes were more satisfactory, with less drainage (106.71 +/- 85.20 mL versus 146.70 +/- 75.63 mL) and no pigeon chest (0 versus 3). The right group's TACQOL were higher than that of the median group in physical complaints (29.58 +/- 2.8 versus 28.07 +/- 2.95), motor functioning (31.23 +/- 1.09 versus 30.53 +/- 1.60), and cognitive functioning (29.93 +/- 3.22 versus 26.87 +/- 4.24).

Conclusions: Repair of VSD through a right thoracotomy can provide more satisfactory outcomes and better health-related quality of life.

Publication types

  • Comparative Study

MeSH terms

  • Adolescent
  • Cardiac Surgical Procedures / methods
  • Cardiac Surgical Procedures / psychology
  • Child
  • Cohort Studies
  • Female
  • Follow-Up Studies
  • Heart Septal Defects, Atrial / diagnosis
  • Heart Septal Defects, Atrial / psychology
  • Heart Septal Defects, Atrial / surgery*
  • Humans
  • Male
  • Patient Satisfaction
  • Probability
  • Quality of Life*
  • Retrospective Studies
  • Risk Assessment
  • Sternum / surgery*
  • Suture Techniques
  • Thoracotomy / methods*
  • Treatment Outcome