"Invisible" Incision: Modified Horizontal Right Axillary Mini-Thoracotomy for Pediatric Cardiac Surgery

Median sternotomy has been the standard surgical approach for pediatric cardiac surgery. The downside is that it leaves a notable and visible scar. Right axillary mini-thoracotomy provides a more aesthetically pleasing incision in addition to an earlier recovery time for patients. However, this contemporary thoracotomy provides a smaller and deeper view of the heart that can make the procedure more difficult. This report describes the modified techniques used to provide an excellent surgical exposure through the right axillary mini-thoracotomy, which also allows patients to have an "invisible" incision.