Call for Papers:Vol.12 Issue.2

Submission
Last date		 28-Apr-2026
Acceptance Status In One Day
Paper Publish In Two Days
Submit ManuScript

News & Updates

Submit Article

Dear Authors, Article publish in our journal for Volume-12,Issue-2. For article submission on below link: Submit Manuscript


Join As Board

Dear Reviewer, You can join our Reviewer team without given any charges in our journal. Submit Details on below link: Join As Board


Paper Publication Charges

IJARIIE APP
Download Android App

For Authors

Archives

IJARIIE Board

Downloads

Android App

Download IJARIIE APP

Authors

Title: :  To analyse the comparison of Right Vertical Infra-Axillary Thoracotomy vs. Standard Median Sternotomy for Atrial Septal Defect Repairs: A Clinical Review
PaperId: :  27861
Published in:   International Journal Of Advance Research And Innovative Ideas In Education
Publisher:   IJARIIE
e-ISSN:   2395-4396
Volume/Issue:    Volume 11 Issue 6 2025
DUI:    16.0415/IJARIIE-27861
Licence: :   IJARIIE is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.

Author NameAuthor Institute
Mujeeb-Ur-RehmanDepartment of Pediatric And Congenital Cardiac Surgery First Affiliated Hospital of Xinjiang Medical University,Ürümqi,Xinjiang,China
Najeeb UllahDepartment of Endocrinology First Affiliated Hospital of Xinjiang Medical University,Ürümqi,Xinjiang,China
Mubashir HasanDepartment of Radiology First Affiliated Hospital of Xinjiang Medical University,Ürümqi,Xinjiang,China
(Correspondence Author )Dr. Ma Chuang Dept. of Orthopedics and Micro vascular Surgery, First Affiliated Hospital of Xinjiang Medical University,Ürümqi,Xinjiang,China

Abstract

Medicine/Surgery
Atrial septal defect (ASD), congenital cardiac surgery, right vertical infra-axillary thoracotomy (RVIA), median sternotomy (MS), Length of hospital stay (LOS)
Atrial septal defect (ASD) repair remains a cornerstone of congenital cardiac surgery, with surgical approaches evolving to prioritize minimally invasive techniques without compromising outcomes. This clinical review synthesizes 47 high-quality observational studies and randomized controlled trials (2015–2025) encompassing 8,923 pediatric and adult ASD patients to directly compare the efficacy of right vertical infra-axillary thoracotomy (RVIA)—a minimally invasive approach—versus standard median sternotomy (MS). Key endpoints evaluated included operative time, cardiopulmonary bypass (CPB) duration, postoperative pain scores, length of hospital stay (LOS), cosmetic satisfaction, and major complication rates (bleeding, infection, residual shunt). RVIA was associated with significantly lower postoperative pain (median visual analog scale [VAS] score: 2.1 vs. 4.3 at 24 hours), shorter LOS (3.2 vs. 5.1 days), and higher cosmetic satisfaction (92% vs. 68% of patients reporting "excellent" outcomes). Operative time (118 vs. 105 minutes) and CPB duration (52 vs. 47 minutes) were marginally longer with RVIA, but these differences did not translate to increased complications: major adverse event rates were comparable (2.3% for RVIA vs. 2.1% for MS). Subgroup analysis confirmed RVIA’s superiority in pediatric patients (<12 years) and small-to-moderate ASD defects (<20 mm), while MS remained preferred for large defects (>25 mm) and concurrent cardiac anomalies. This review concludes that RVIA is a safe, effective alternative to MS for uncomplicated ASD repair, offering meaningful patient-centered benefits (reduced pain, better cosmesis, faster recovery) with no tradeoffs in safety. These findings support broader adoption of RVIA in clinical practice, particularly for patients prioritizing minimally invasive care and cosmetic outcomes

Citations

Copy and paste a formatted citation or use one of the links to import into a bibliography manager and reference.

IJARIIE Mujeeb-Ur-Rehman, Najeeb Ullah, Mubashir Hasan, and (Correspondence Author )Dr. Ma Chuang . "To analyse the comparison of Right Vertical Infra-Axillary Thoracotomy vs. Standard Median Sternotomy for Atrial Septal Defect Repairs: A Clinical Review" International Journal Of Advance Research And Innovative Ideas In Education Volume 11 Issue 6 2025 Page 1815-1823
MLA Mujeeb-Ur-Rehman, Najeeb Ullah, Mubashir Hasan, and (Correspondence Author )Dr. Ma Chuang . "To analyse the comparison of Right Vertical Infra-Axillary Thoracotomy vs. Standard Median Sternotomy for Atrial Septal Defect Repairs: A Clinical Review." International Journal Of Advance Research And Innovative Ideas In Education 11.6(2025) : 1815-1823.
APA Mujeeb-Ur-Rehman, Najeeb Ullah, Mubashir Hasan, & (Correspondence Author )Dr. Ma Chuang . (2025). To analyse the comparison of Right Vertical Infra-Axillary Thoracotomy vs. Standard Median Sternotomy for Atrial Septal Defect Repairs: A Clinical Review. International Journal Of Advance Research And Innovative Ideas In Education, 11(6), 1815-1823.
Chicago Mujeeb-Ur-Rehman, Najeeb Ullah, Mubashir Hasan, and (Correspondence Author )Dr. Ma Chuang . "To analyse the comparison of Right Vertical Infra-Axillary Thoracotomy vs. Standard Median Sternotomy for Atrial Septal Defect Repairs: A Clinical Review." International Journal Of Advance Research And Innovative Ideas In Education 11, no. 6 (2025) : 1815-1823.
Oxford Mujeeb-Ur-Rehman, Najeeb Ullah, Mubashir Hasan, and (Correspondence Author )Dr. Ma Chuang . 'To analyse the comparison of Right Vertical Infra-Axillary Thoracotomy vs. Standard Median Sternotomy for Atrial Septal Defect Repairs: A Clinical Review', International Journal Of Advance Research And Innovative Ideas In Education, vol. 11, no. 6, 2025, p. 1815-1823. Available from IJARIIE, https://ijariie.com/AdminUploadPdf/To_analyse_the_comparison_of_Right_Vertical_Infra_Axillary_Thoracotomy_vs__Standard_Median_Sternotomy_for_Atrial_Septal_Defect_Repairs__A_Clinical_Review_ijariie27861.pdf (Accessed : ).
Harvard Mujeeb-Ur-Rehman, Najeeb Ullah, Mubashir Hasan, and (Correspondence Author )Dr. Ma Chuang . (2025) 'To analyse the comparison of Right Vertical Infra-Axillary Thoracotomy vs. Standard Median Sternotomy for Atrial Septal Defect Repairs: A Clinical Review', International Journal Of Advance Research And Innovative Ideas In Education, 11(6), pp. 1815-1823IJARIIE [Online]. Available at: https://ijariie.com/AdminUploadPdf/To_analyse_the_comparison_of_Right_Vertical_Infra_Axillary_Thoracotomy_vs__Standard_Median_Sternotomy_for_Atrial_Septal_Defect_Repairs__A_Clinical_Review_ijariie27861.pdf (Accessed : )
IEEE Mujeeb-Ur-Rehman, Najeeb Ullah, Mubashir Hasan, and (Correspondence Author )Dr. Ma Chuang , "To analyse the comparison of Right Vertical Infra-Axillary Thoracotomy vs. Standard Median Sternotomy for Atrial Septal Defect Repairs: A Clinical Review," International Journal Of Advance Research And Innovative Ideas In Education, vol. 11, no. 6, pp. 1815-1823, Nov-Dec 2025. [Online]. Available: https://ijariie.com/AdminUploadPdf/To_analyse_the_comparison_of_Right_Vertical_Infra_Axillary_Thoracotomy_vs__Standard_Median_Sternotomy_for_Atrial_Septal_Defect_Repairs__A_Clinical_Review_ijariie27861.pdf [Accessed : ].
Turabian Mujeeb-Ur-Rehman, Najeeb Ullah, Mubashir Hasan, and (Correspondence Author )Dr. Ma Chuang . "To analyse the comparison of Right Vertical Infra-Axillary Thoracotomy vs. Standard Median Sternotomy for Atrial Septal Defect Repairs: A Clinical Review." International Journal Of Advance Research And Innovative Ideas In Education [Online]. volume 11 number 6 ().
Vancouver Mujeeb-Ur-Rehman, Najeeb Ullah, Mubashir Hasan, and (Correspondence Author )Dr. Ma Chuang . To analyse the comparison of Right Vertical Infra-Axillary Thoracotomy vs. Standard Median Sternotomy for Atrial Septal Defect Repairs: A Clinical Review. International Journal Of Advance Research And Innovative Ideas In Education [Internet]. 2025 [Cited : ]; 11(6) : 1815-1823. Available from: https://ijariie.com/AdminUploadPdf/To_analyse_the_comparison_of_Right_Vertical_Infra_Axillary_Thoracotomy_vs__Standard_Median_Sternotomy_for_Atrial_Septal_Defect_Repairs__A_Clinical_Review_ijariie27861.pdf
BibTex EndNote RefMan RefWorks

Number Of Downloads



Save in Google Drive

Similar-Paper

TitleArea of ResearchAuther NameAction
5-Year Comparative cost-effectiveness analysis of CABG Surgery and PCI with Second-Generation Drug-Eluting Stents in Elderly Patients with Type 2 Diabetes: A Single-Center Real-World EvidenceBiological & Medical SciencesOrash Boqiev Download
To identify the Multiple Driver Gene Mutations in Non-Small Cell Lung Cancer (NSCLC): A Comprehensive ReviewMedicine/SurgeryMujeeb-Ur-Rehman Download
Comparison of Transannular Patch and Valve-Sparing Repair Techniques in Tetralogy of Fallot: A Clinical ReviewMedicine/SurgeryMujeeb-Ur-Rehman Download
To analyse the comparison of Right Vertical Infra-Axillary Thoracotomy vs. Standard Median Sternotomy for Atrial Septal Defect Repairs: A Clinical ReviewMedicine/SurgeryMujeeb-Ur-Rehman Download