[Safe and easy surgical atrial septectomy for congenital heart diseases].
Surgical atrial septectomy using a Kerrison clamp, which is used in neurosurgery, was done in four elder infants without extra-corporeal circulation. Two (6 and 4 months old) had an atresia of left atrio-ventricular valve with small atrial septal defect, one (8 months) had a transposition of great arteries with closing multiple ventricular septal defects, and one had a pure pulmonary atresia. A purse string suture was put on the right atrial appendage and the clamp in a closing position was inserted into the left atrium through the appendage and the atrial septum. The edge of the atrial septal defect and/or patent foramen ovale was hooked by pulling it slowly. It was closed strictly and pulled out together with a resected atrial specimen. This technique is safer and easier than the Blalock-Hanlon technique and atrial septectomy under extra-corporeal circulation for elder infants for whom balloon atrial septostomy is difficult to be done.
Department of Thoracic Surgery, Nagoya University School of Medicine, Japan.
T
T
Watanabe
T
T
Abe
M
M
Tanaka
K
K
Miyahara
M
M
Kajiyama
M
M
Nagashima
A
A
Tsuji
Y
Y
Suenaga
K
K
Tajima
M
M
Iawasa
D006348:Cardiac Surgical Procedures / Q000295:instrumentation; D005260:Female; D006325:Heart Atria / Q000002:abnormalities; D006330:Heart Defects, Congenital / Q000601:surgery*; D006344:Heart Septal Defects, Atrial / Q000601:surgery; D006346:Heart Septum / Q000601:surgery*; D006801:Humans; D007223:Infant; D008297:Male; D013525:Surgical Instruments