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At birth, Ethan weighed 9 pounds 14.6 ounces—larger than the average newborn. After a difficult delivery at Houston Methodist Sugar Land Hospital, Julie Page and her husband, Brent, were told that their baby boy was born with a heart defect. A diagnosis at Texas Children’s Hospital later confirmed that Ethan had three VSDs in his heart. A right axillary thoracotomy for transatrial repair of congenital heart defects is a highly uncommon approach in pediatric cardiology in the United States today. Dodge-Khatami is one of a handful of doctors in the country doing this surgery, according to administrators at Children’s Memorial Hermann. “What will happen over time is, people will train on this, expand it and then people will be in a fellowship program for congenital heart surgery and they will learn how to do it,” said Kevin P. Lally, M.D., surgeon-in-chief, Children’s Memorial Hermann Hospital, and chair of the department of pediatric surgery at McGovern Medical School at UTHealth. “I am confident that for certain operations, this will clearly be the approach, but it will take a while.”