Right Vertical Infra-Axillary Thoracotomy Approach in Simple Congenital Heart Diseases

Yasuyuki Kobayashi, Shingo Kasahara, Yasuhiro Kotani

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


Right thoracotomy approach has been gaining popularity in the repair of simple congenital heart diseases; especially, right vertical infra-axillary thoracotomy (RVIAT) provides a cosmetic benefit that is concealed and less evident but often requires peripheral cannulation. The surgical technique for RVIAT involved a 6-cm vertical incision in the right axillary fold, and cardiopulmonary bypass was established with ascending aorta and bicaval cannulations directly through the same surgical field. Intercostal block was routinely performed intra- and postoperatively to facilitate fast-track postoperative recovery. There is still a large potential to expand the selection criteria of RVIAT approach for further complicated diseases as a promising alternative to standard median sternotomy.

Original languageEnglish
Pages (from-to)294-301
Number of pages8
JournalOperative Techniques in Thoracic and Cardiovascular Surgery
Issue number3
Publication statusPublished - Sept 1 2022


  • congenital heart disease
  • fast-track
  • minimally invasive
  • right thoracotomy
  • vertical incision

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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