The right posterolateral thoracotomy approach was used in 13 young gir
ls aged from 1 to 8 years for open heart repair of atrial septal defec
t (ostium secundum and primum) and ventricular septal defect, without
morbidity nor mortality, Neither the thoracotomy scar nor impaired gro
wth of the mammary gland were visible, This approach is considered as
safe as median sternotomy for open heart repair of isolated and simple
cardiac defects, in prepuberty young females.