title: [Submammary skin incision for longitudinal medial sternotomy].
abstract: The submammary incision has been postulated as an alternative in median sternotomy approach since 1960. We used this incision in 32 females patients from 1 to 24 years. The diagnoses were atrial septal defects (ASD) 23 patients, ventricular septal defect (VSD) 2 patients, double outlet right ventricle 1 patient, supravalvular aortic stenosis 1 patient, ASD with VSD 3 patients and partial anomalous pulmonary venous connection 1 patient. Nine patients had a complication: cheloid scar 1 patient, seroma 2 patients, wound dehiscence 3 patients, and diminution of sensitivity 3 patients. We conclude, that this type of surgical approach is an excellent alternative for women with good aesthetic and psychological results. Their complications are easy to correct.
authors.affiliation: Departamento de Cirugía Cardiovascular y de Tórax, Instituto Nacional de Cardiología, Ignacio Chávez, Tlalpan, México, D.F.
authors.forename: S
authors.initials: S
authors.lastname: Ramírez Marroquín
authors.forename: A M
authors.initials: AM
authors.lastname: Rojas Pacheco
authors.forename: V
authors.initials: V
authors.lastname: Herrera Alarcón
authors.forename: F
authors.initials: F
authors.lastname: Santibáñez Escobar
authors.forename: J
authors.initials: J
authors.lastname: Molina Méndez
authors.forename: G
authors.initials: G
authors.lastname: Serrano Gallardo
authors.forename: R
authors.initials: R
authors.lastname: Barragán García
mesh_terms: D000293:Adolescent; D000328:Adult; D006348:Cardiac Surgical Procedures / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D013249:Sternum / Q000601:surgery*; D013908:Thoracotomy / Q000379:methods
vernacular_title: Incisión submamaria para esternotomía media longitudinal.