Minimally Invasive Right Axillary Incision: A Scar-Free Option for Treating Certain Congenital Heart Defects

Parents of children diagnosed with congenital heart defects often face difficult decisions when it comes to choosing the best surgical approach. Should they go with the traditional open-chest procedure, or is there a less invasive alternative that offers better cosmetic results and a faster recovery?

Historically, most congenital heart surgeries have been performed using a median sternotomy—meaning a large incision through the breastbone. While effective, this method leaves a significant vertical scar across the chest. For many children, especially girls, this can lead to self-consciousness later in life, limiting clothing choices and potentially affecting confidence. As medical technology and surgical techniques have advanced, minimally invasive approaches have become increasingly popular.

In recent years, we've successfully adopted the right axillary minithoracotomy approach for suitable cases. This technique involves a small incision (typically 3–5 cm) made under the right arm, allowing surgeons to access the heart through the rib space without cutting through major muscles or bones. The cosmetic benefits are remarkable—there's no visible scar on the chest, and most people would never know the child had heart surgery unless told explicitly. Parents are often thrilled to see their children recover well with such a discreet incision.

What Heart Conditions Can Be Treated with This Approach?

Based on our clinical experience and outcomes, the right axillary approach is suitable for treating a range of congenital heart defects, including:

Commonly Treated Conditions:

Atrial Septal Defect (ASD): A hole in the wall between the two upper chambers of the heart.
Ventricular Septal Defect (VSD): A hole in the wall separating the two lower chambers of the heart.
Total Anomalous Pulmonary Venous Return (TAPVR): A condition where the pulmonary veins don't connect properly to the left atrium.
Partial Atrioventricular Septal Defect: A defect involving the valves and walls between the upper and lower chambers.
Right Ventricular Outflow Tract Obstruction: A blockage in the pathway leading from the right ventricle to the lungs.
Mild Forms of Tetralogy of Fallot: A combination of four heart defects, with less severe anatomical changes.
Partial Vascular Rings: Abnormal formations around the trachea and esophagus that can cause compression.
Mitral Valve Repair: Structural correction of the mitral valve without replacement.

Why Experience Matters

Performing these procedures through such a small incision requires a high level of surgical skill and experience. Over the past few years, our team has developed expertise in this technique, achieving outcomes comparable to those of traditional open-heart surgery. The advantages—such as reduced pain, faster recovery, and excellent cosmetic results—make this a compelling option for eligible patients.

Support for Families in Need

For families concerned about the cost of treatment, we work closely with several charitable foundations that offer financial assistance. These programs can significantly reduce the burden of medical expenses, making advanced care more accessible to those in need. If you'd like to learn more or schedule a consultation, please feel free to contact Dr. Yongqiang Jin through our website. We're committed to providing compassionate, cutting-edge care for every child.