Right axillary minithoracotomy: An alternative access to close an ASD.

Widenka, Hannah; Kadner, Alexander (2021). Right axillary minithoracotomy: An alternative access to close an ASD. Multimedia manual of cardiothoracic surgery : MMCTS, 2021 European Association for Cardio-Thoracic Surgeons 10.1510/mmcts.2021.029

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A vertical right axillary thoracotomy is a favorable alternative to a median sternotomy for surgical correction of common congenital heart defects in patients of all ages. The right-sided heart structures can be approached through a 4- to 5-cm vertical incision in the midaxillary line. In contrast to a midline sternotomy, osseous thoracic structures can be preserved through a muscle-sparing approach simply by retracting the ribs. Consequently, recovery is usually faster, and the resulting scar is completely hidden under the resting arm. In addition, there is no need for special equipment. The entire operation can be performed with established techniques. Operative outcome and long-term results have been shown by several research groups to be comparable to those obtained with a median sternotomy. This tutorial demonstrates the stepwise performance of an axillary thoracotomy and the extracorporeal circulation setup by the example of the closure of an atrial septal defect.

Item Type:

Journal Article (Further Contribution)


04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery

UniBE Contributor:

Widenka, Hannah Kristin and Kadner, Alexander


600 Technology > 610 Medicine & health




European Association for Cardio-Thoracic Surgeons




Paul Libera

Date Deposited:

04 Jan 2022 12:23

Last Modified:

04 Jan 2022 12:23

Publisher DOI:


PubMed ID:


Uncontrolled Keywords:

ASD Congenital heart disease Minimally invasive surgery Right axillary thoracotomy VSD



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