{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,20]],"date-time":"2026-10-20T12:49:02Z","timestamp":1792500542296,"version":"4.5.0"},"reference-count":24,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Innovations\ufffd(Phila)"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To evaluate the surgical outcomes of the modified right vertical infra-axillary thoracotomy (MRVIAT) technique for the treatment of various congenital heart diseases (CHDs) across all age groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A retrospective analysis was performed on 1,513 patients with CHD who underwent surgery using the MRVIAT technique between January 2022 and June 2024. Incisions were 2 to 5 cm, and peripheral extracorporeal circulation was not used. Twelve primary surgical procedures were executed across all age groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>All 1,513 patients successfully underwent surgery without the need for conversion to a median sternotomy or any in-hospital mortality. The median patient age was 1.1 years (range, 0.1 to 57 years), with 62 patients aged 18 years or older. The median weight was 9 kg (range, 1.8 to 101.6 kg), with 859 patients (56.8%) weighing \u226410 kg, 588 patients (39.9%) weighing between 10 kg and 50 kg, and 66 patients (4.4%) weighing \u226550 kg. Two patients (0.1%) required early reoperation: 1 (0.1%) due to third-degree atrioventricular block and 1 (0.1%) due to postoperative bleeding. Other postoperative complications included mild residual shunt in 20 patients (1.3%), pneumothorax in 2 patients (0.1%), wound infection in 3 patients (0.2%), and pulmonary infection in 4 patients (0.3%). The median follow-up period was 1.3 years (range, 0.3 to 2.5 years). During follow-up, no surgery-related thoracic deformities were noted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The MRVIAT technique is a safe and viable method for treating CHD patients across all age groups. This technique, which involves a smaller, less prominent incision, offers a promising alternative to median sternotomy methods.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15569845261453374","type":"journal-article","created":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T05:42:01Z","timestamp":1781674921000},"page":"264-272","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Modified Right Vertical Infra-Axillary Thoracotomy Technique: A 2 to 5 cm Incision Approach for Repair of Various Congenital Heart Diseases in All Age Groups"],"prefix":"10.1177","volume":"21","author":[{"given":"Heqi","family":"Zhang","sequence":"first","affiliation":[{"name":"Henan Provincial People\u2019s Hospital Fuwai Central China Cardiovascular Hospital Children\u2019s Heart Center, Zhengzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hua","family":"Cao","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Central China Fuwai Hospital of Zhengzhou University, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5529-0882","authenticated-orcid":false,"given":"Weijie","family":"Liang","sequence":"additional","affiliation":[{"name":"Henan Provincial People\u2019s Hospital Fuwai Central China Cardiovascular Hospital Children\u2019s Heart Center, Zhengzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haoju","family":"Dong","sequence":"additional","affiliation":[{"name":"Henan Provincial People\u2019s Hospital Fuwai Central China Cardiovascular Hospital Children\u2019s Heart Center, Zhengzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shubo","family":"Song","sequence":"additional","affiliation":[{"name":"Henan Provincial People\u2019s Hospital Fuwai Central China Cardiovascular Hospital Children\u2019s Heart Center, Zhengzhou, China"},{"name":"Department of Structural Heart Disease, Central China Fuwai Hospital of Zhengzhou University, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taibing","family":"Fan","sequence":"additional","affiliation":[{"name":"Henan Provincial People\u2019s Hospital Fuwai Central China Cardiovascular Hospital Children\u2019s Heart Center, Zhengzhou, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,6,16]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.xjtc.2022.02.037"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/1556984520911917"},{"key":"e_1_3_2_4_2","first-page":"735","article-title":"Outcomes of minimally invasive triple valve surgery performed via a right anterior thoracotomy approach","volume":"22","author":"Elmahdy HM","year":"2013","unstructured":"Elmahdy HM, Nascimento FO, Santana O, et al. 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