Little Hearts, Little Scars

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Last Summer, Beau made Texas state medical history when the fingertip-sized hole in his tiny heart was closed with the h...
09/18/2019

Last Summer, Beau made Texas state medical history when the fingertip-sized hole in his tiny heart was closed with the help of a highly specialized and minimally-invasive surgical technique at Children’s Heart Center at Children’s Memorial Hermann Hospital. The hole, called a ventricular septal defect (VSD) was putting undue stress on his body, tiring him quickly and inhibiting his ability to eat and nourish himself. While many VSDs close on their own, it became apparent that Beau’s needed surgery.

He became the first child in the state to undergo right axillary thoracotomy, a novel approach to CHD repair that allows doctors to access the heart through an incision under the right arm rather than through traditional open heart surgery. The first day after surgery, Beau had enough energy to successfully breastfeed for the first time since he was three weeks old, by the following day he no longer needed pain medication, and by the fourth day, he was able to go home. His parents are thrilled with the results and say their only worry now is keeping up with Beau’s newfound appetite.

Beau Wyble was where he should be on a Friday night—at home with his parents, Jessica and Andrew Wyble, and his big sister. He was eating and sleeping like most other three-and-a-half-month-olds. Just four days earlier, Beau had made Texas state medical history of sorts when the fingertip-sized ho...

The Children’s Heart Center at Children's Memorial Hermann Hospital is pioneering an innovative approach to congenital h...
09/18/2019

The Children’s Heart Center at Children's Memorial Hermann Hospital is pioneering an innovative approach to congenital heart defect repair — a less invasive alternative to open-heart surgery called right axillary thoracotomy. This minimally invasive approach accesses the heart through an incision under the right arm and can be used to repair all atrial septal defects, a vast majority of VSD along with several other types of CHD.

The approach spares muscles from being severed, doesn’t interfere with the growth of breast tissue, and results in a faster recovery (typically less than a week) and shorter hospital stay than traditional open heart surgery. The procedure also produces superior cosmetic results, leaving children with a small vertical scar under the right arm instead of a large scar down the middle of the chest.

Minimally invasive axillary repair, also referred to as cosmetic right axillary thoracotomy, is an advanced treatment approach involving a minimally invasive surgical technique for the repair of many congenital heart defects (CHDs) in children. As compared to traditional open heart surgery, this app...

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