ArticleFrontiers in pediatrics2025
Recent efficacy of modified right vertical infra-axillary thoracotomy for ventricular septal defects in pediatric patients with younger age and Low body weight.
Article in Frontiers in pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Machine Learning Model for Predicting Postoperative Complications in Pediatric Simple Congenital Heart Disease with Right Vertical Infra-Axillary Incision.Journal of cardiovascular development and disease · 2026Article
- Hybrid periventricular surgery for ventricular septal defects in children: a single-center large-cohort study in Kazakhstan.Frontiers in cardiovascular medicine · 2026Article
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Authors and funding
4 authors.
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Abstract
Objective: To evaluate the safety and efficacy of a modified right vertical infra-axillary thoracotomy (MRVIAT) technique for treating ventricular septal defects (VSD) in infants younger than six months. and low body weight (≤5 kg). Methods: From January 2020 to December 2024, the study included 204 infants who underwent MRVIAT and 62 infants who underwent median sternotomy (MS). General, perioperative, and follow-up data were analyzed retrospectively. Results: Operation time, intraoperative bleeding, 24-h postoperative chest tube drainage, mechanical ventilation time, postoperative intensive care unit time, extubation rate within 24 h postoperatively, hospital costs, and incision length were shorter in the MRVIAT group than in the MS group ( Conclusion: ventricular septal defect repair by MRVIAT in younger children with low body weight is less invasive. It provides good incision exposure, does not affect pulmonary function, reduces intraoperative bleeding and postoperative hospital stay and costs, and facilitates rapid recovery. This procedure is safe and effective and can be considered an alternative to median sternotomy.
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