{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T12:23:07Z","timestamp":1777724587420,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2005,2,1]],"date-time":"2005-02-01T00:00:00Z","timestamp":1107216000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2005,2]]},"abstract":"<jats:p>We compared the use of right infra-axillary minithoracotomy and conventional median sternotomy in direct open-heart surgery in 59 adults undergoing elective surgery for mitral valve stenosis, mitral valve disease, atrial septal defect repair, left atrial myxoma excision or mitral and tricuspid valve disease. Patients were randomized to the infra-axillary minithoracotomy group (Group A; n = 29) or the median sternotomy group (Group B; n = 30). Post-operative outcomes (post-operative bleeding; cross-clamp time; length of hospital and intensive care unit stays; and postoperative blood transfusion and analgesic requirements) were recorded and compared; they were found to be significantly lower in Group A than Group B. We concluded that right infra-axillary minithoracotomy is less invasive and can be used safely in adults as an alternative approach to conventional median sternotomy for some cardiac operations. Further multicentre studies in adults are now needed.<\/jats:p>","DOI":"10.1177\/147323000503300107","type":"journal-article","created":{"date-parts":[[2013,2,27]],"date-time":"2013-02-27T14:22:43Z","timestamp":1361974963000},"page":"77-83","source":"Crossref","is-referenced-by-count":2,"title":["An Alternative, Less Invasive Approach to Median Sternotomy for Cardiac Operations in Adults: Right Infra-Axillary Minithoracotomy"],"prefix":"10.1177","volume":"33","author":[{"given":"B","family":"T\u00fcnerir","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Osmangazi University Medical School and Research Hospital, Eski\u015fehir, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R","family":"Aslan","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Osmangazi University Medical School and Research Hospital, Eski\u015fehir, Turkey"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2005,2,1]]},"reference":[{"key":"bibr1-147323000503300107","first-page":"43","volume-title":"Techniques for Minimally Invasive Direct Coronary Artery Bypass (MIDCAB) Surgery","author":"Arom KV","year":"1997"},{"key":"bibr2-147323000503300107","doi-asserted-by":"crossref","first-page":"797","DOI":"10.1067\/mtc.2003.324","volume":"125","author":"Puskas JD","year":"2003","journal-title":"J Thorac Cardiovasc Surg"},{"key":"bibr3-147323000503300107","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(98)00652-3"},{"key":"bibr4-147323000503300107","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(99)00963-7"},{"key":"bibr5-147323000503300107","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(00)01407-7"},{"key":"bibr6-147323000503300107","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(96)00779-5"},{"key":"bibr7-147323000503300107","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(97)00242-7"},{"key":"bibr8-147323000503300107","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(01)03175-7"},{"key":"bibr9-147323000503300107","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(96)00182-8"},{"key":"bibr10-147323000503300107","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(01)02470-5"},{"key":"bibr11-147323000503300107","unstructured":"Be\u015fo\u011ful Y, T\u00fcnerir B, Yavuz T, \u00d6zcan V, \u00d6zdemir C, Erden T, Cardiac operations through a right subaxillary minithoracotomy: a new alternative approach in adults. 52nd International Congress of the European Society for CardioVascular Surgery, Istanbul, Turkey, 2003; C13.2; 225"},{"key":"bibr12-147323000503300107","doi-asserted-by":"publisher","DOI":"10.1177\/147323000303100306"},{"key":"bibr13-147323000503300107","first-page":"37","volume-title":"Cardiac Surgery in the Adult","author":"Mill MR","year":"1997"},{"key":"bibr14-147323000503300107","doi-asserted-by":"publisher","DOI":"10.1177\/021849239800600417"},{"key":"bibr15-147323000503300107","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(97)01101-6"},{"key":"bibr16-147323000503300107","doi-asserted-by":"publisher","DOI":"10.1007\/s005950050611"}],"container-title":["Journal of International Medical Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/147323000503300107","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/147323000503300107","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T10:40:17Z","timestamp":1777459217000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/147323000503300107"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2005,2]]},"references-count":16,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2005,2]]}},"alternative-id":["10.1177\/147323000503300107"],"URL":"https:\/\/doi.org\/10.1177\/147323000503300107","relation":{},"ISSN":["0300-0605","1473-2300"],"issn-type":[{"value":"0300-0605","type":"print"},{"value":"1473-2300","type":"electronic"}],"subject":[],"published":{"date-parts":[[2005,2]]}}}