Evidence map›Paper›PMID 42271495›Full record

ArticleJournal of cardiothoracic surgery2026

Right axillary thoracotomy versus median sternotomy for repair of subarterial ventricular septal defect in adolescents and adults.

Jiachen Li, Yalun Qu, Zhongyi Han, Lizhi Lv, Yabing Duan, Guofeng Xing, Gang Li, Yuefeng Cao, Qiang Wang

Abstract readComparative Study
In one paragraph

Article in Journal of cardiothoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jiachen LiBeijing Anzhen Hospital of Capital Medical University, Beijing, China.
Yalun QuBeijing Anzhen Hospital of Capital Medical University, Beijing, China.
Zhongyi HanBeijing Anzhen Hospital of Capital Medical University, Beijing, China.
Lizhi LvBeijing Anzhen Hospital of Capital Medical University, Beijing, China.
Yabing DuanBeijing Anzhen Hospital of Capital Medical University, Beijing, China.
Guofeng XingBeijing Anzhen Hospital of Capital Medical University, Beijing, China.
Gang LiBeijing Anzhen Hospital of Capital Medical University, Beijing, China.
Yuefeng CaoBeijing Anzhen Hospital of Capital Medical University, Beijing, China. caoyuefeng1220@163.com.
Qiang WangBeijing Anzhen Hospital of Capital Medical University, Beijing, China. wqcory@126.com.

Funding

Capital's Funds for Health Improvement and Research CRF-2024-1-2062High-level Research Special Program-RCT Project 2024AZB1012R&D Program of Beijing Municipal Education Commission KM202310025011Science and Technology Innovation Fund-Major Science and Technology Innovation Research and Development Special Project KCZD202202
6 · The paper itself

Abstract

backgroundSubarterial ventricular septal defect (sVSD) has a relatively high incidence in the Asian population. Surgical repair remains the preferred treatment. This research aims to report on the application of a modification of the surgical approach in the treatment of sVSD in adolescents and adults; (2)

methodsThis retrospective cohort study included 74 consecutive patients aged 14 years or older with sVSD who underwent surgical repair between January 2016 and December 2024.Patients were divided into Group A (right axillary thoracotomy) and Group B (median sternotomy). Perioperative data and long-term follow-up outcomes were analyzed and compared; (3) Results: Baseline characteristics were comparable between groups. The right axillary thoracotomy group had longer cardiopulmonary bypass and aortic cross-clamp times but significantly lower postoperative drainage volumes. No significant differences were observed in mechanical ventilation time, intensive care unit stay, hospital length of stay, or pre-discharge ventricular function. During long-term follow-up, no deaths, reinterventions, residual shunts, or complete atrioventricular block occurred in either group; (4) Conclusions: In patients aged 14 years or older with sVSD, right axillary thoracotomy achieves perioperative and long-term outcomes comparable to conventional sternotomy, while offering advantages in reduced surgical trauma.

Indexed as

Cardiac Surgical ProceduresHeart Septal Defects, VentricularSternotomyThoracotomyAdolescentAdultAxillaFemaleFollow-Up StudiesHumansMaleRetrospective StudiesTreatment OutcomeYoung AdultAdolescentAdultMedian sternotomyRight axillary thoracotomySubarterial ventricular septal defect

Identifiers

PMID42271495
PMCPMC13483611

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.