{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,6]],"date-time":"2024-09-06T07:08:03Z","timestamp":1725606483136},"reference-count":24,"publisher":"Cambridge University Press (CUP)","issue":"6","license":[{"start":{"date-parts":[[2008,8,19]],"date-time":"2008-08-19T00:00:00Z","timestamp":1219104000000},"content-version":"unspecified","delay-in-days":3214,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[1999,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec id=\"S1047951100005606_sec01\"><jats:title>Background<\/jats:title><jats:p>There has been a trend in recent years towards less invasive therapy for many congenital cardiac malformations. For the past 5 years, we have employed a technique of limited surgical exposure when repairing atrial defects within the oval fossa.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951100005606_sec02\" sec-type=\"methods\"><jats:title>Methods<\/jats:title><jats:p>Over the 5-year period from July 1992 to August 1997, 115 consecutive patients underwent surgical repair of an isolated atrial septal defect in the region of the oval fossa by a single surgeon. The patients had a limited midline skin incision starting at the line of the nipples and extending inferiorly across 2 to 3 intercostal spaces. A partial sternotomy was performed, sparing the manubrium. Standard instruments and cannulation techniques were used for cardiopulmonary bypass and fibrillatory arrest.<\/jats:p><\/jats:sec><jats:sec id=\"S1047951100005606_sec03\" sec-type=\"results\"><jats:title>Results<\/jats:title><jats:p>There were no deaths and no major complications. The median time to extubation after leaving the operating room was 3 hours (30 minutes to 8 days). Mediastinal drains were removed the morning after surgery. The median stay in the intensive care unit was 7 hours (3 hours to 10 days), and patients were discharged from the hospital a median of 4 days postopera-tively (2 to 23 days).<\/jats:p><\/jats:sec><jats:sec id=\"S1047951100005606_sec04\" sec-type=\"conclusion\"><jats:title>Conclusions<\/jats:title><jats:p>This approach using limited exposure can be applied safely without any new instruments and without peripheral incisions or sites of vascular access, while providing a comfortable exposure for the surgeon and achieving a cosmetically superior result for the patient.<\/jats:p><\/jats:sec>","DOI":"10.1017\/s1047951100005606","type":"journal-article","created":{"date-parts":[[2008,8,31]],"date-time":"2008-08-31T20:05:34Z","timestamp":1220213134000},"page":"572-576","source":"Crossref","is-referenced-by-count":19,"title":["A 5-year experience with surgical repair of atrial septal defect employing limited exposure"],"prefix":"10.1017","volume":"9","author":[{"given":"Junaid H.","family":"Khan","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Doff B.","family":"McElhinney","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V. 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