Repair of secundum atrial septal defect: limiting the incision without sacrificing exposure.
A simple and effective technique for repair of secundum atrial septal defect is described. The heart is exposed through a limited midline skin incision and partial sternotomy, and the atrial septal defect is closed through a right atriotomy with ascending aortic and dual venous cannulation. This approach achieves a cosmetically superior result with standard instrumentation and cardiopulmonary bypass techniques, without compromising exposure or using peripheral incisions.
Khan
J H
JH
Division of Cardiothoracic Surgery, University of California, San Francisco 94143-0118, USA.
McElhinney
D B
DB
Reddy
V M
VM
Hanley
F L
FL
D006348:Cardiac Surgical Procedures / Q000379:methods*; D006344:Heart Septal Defects, Atrial / Q000601:surgery*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D013249:Sternum / Q000601:surgery