{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T02:04:44Z","timestamp":1790820284215,"version":"4.1.0"},"reference-count":7,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"unspecified","delay-in-days":8,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"S1047951126123488_as1\">\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Minimally invasive vertical right axillary thoracotomy offers an excellent cosmetic and functional alternative to standard median sternotomy for congenital heart repairs in children. We report the steps taken and challenges involved in building an emerging programmes and outcomes in repairing diverse CHDs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126123488_as2\">\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>We performed a retrospective review of the first 152 paediatric patients who underwent repair of selected CHDs using the minimal invasive vertical right axillary thoracotomy approach between April 2022 and December 2025 at our institution and outline our multi-disciplinary team-building protocol.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126123488_as3\">\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Pre-commencement protocolar team teaching was implicated 2 months prior to the first case, using information gained through a combination of surgical site visits abroad by the surgeons, protocolar experience exchange with foreign experts, and multimedia educational platforms. The median age was 4.9 years (range: 4 months\u201313 years), and median weight was 16 kg (6\u201341 kg). The median lengths of ICU stay and hospital stay were 1.2 and 4.6 days, respectively. No in-hospital deaths or conversions to median sternotomy occurred. No late deaths or reoperations occurred during a median follow-up of 16 months (range 5 months\u20134 years).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"S1047951126123488_as4\">\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>The minimal invasive vertical right axillary thoracotomy can be safely introduced for a broad spectrum of CHDs. Educating all team members is critical to achieving excellent outcomes in a short-time frame. This approach provides excellent cosmetic results with a small \u201chidden\u201d scar and stands as a good alternative to median sternotomy in selected paediatric patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1017\/s1047951126123488","type":"journal-article","created":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T09:01:19Z","timestamp":1783587679000},"page":"1423-1427","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Programme-building aspects with introducing minimally invasive axillary thoracotomy repairs in children"],"prefix":"10.1017","volume":"36","author":[{"given":"Kamran","family":"Musayev","sequence":"first","affiliation":[{"name":"Merkezi Klinika"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6096-6729","authenticated-orcid":false,"given":"Kamran","family":"Ahmadov","sequence":"additional","affiliation":[{"name":"Merkezi Klinika"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4189-0551","authenticated-orcid":false,"given":"Ali","family":"Dodge-Khatami","sequence":"additional","affiliation":[{"name":"RWTH University Clinic Aachen"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"key":"S1047951126123488_ref7","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2005.03.020"},{"key":"S1047951126123488_ref3","doi-asserted-by":"publisher","DOI":"10.21037\/tp-23-282"},{"key":"S1047951126123488_ref2","doi-asserted-by":"publisher","DOI":"10.3390\/jcdd12100404"},{"key":"S1047951126123488_ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2005.03.023"},{"key":"S1047951126123488_ref5","doi-asserted-by":"publisher","DOI":"10.1177\/21501351251322155"},{"key":"S1047951126123488_ref4","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951121001979"},{"key":"S1047951126123488_ref6","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2018.05.003"}],"container-title":["Cardiology in the Young"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.cambridge.org\/core\/services\/aop-cambridge-core\/content\/view\/S1047951126123488","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T01:45:36Z","timestamp":1790819136000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.cambridge.org\/core\/product\/identifier\/S1047951126123488\/type\/journal_article"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7]]},"references-count":7,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2026,7]]}},"alternative-id":["S1047951126123488"],"URL":"https:\/\/doi.org\/10.1017\/s1047951126123488","relation":{},"ISSN":["1047-9511","1467-1107"],"issn-type":[{"value":"1047-9511","type":"print"},{"value":"1467-1107","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7]]},"assertion":[{"value":"\u00a9 The Author(s), 2026. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}