Atrial septal defect video showing surgical repair: Difference between revisions
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{{Atrial septal defect}} | |||
{{CMG}}; '''Associate Editors-In-Chief:''' [[Priyamvada Singh|Priyamvada Singh, MBBS]] [mailto:psingh13579@gmail.com]; {{CZ}}; '''Assistant Editor-In-Chief:''' [[Kristin Feeney|Kristin Feeney, B.S.]] [mailto:kfeeney@elon.edu] | |||
==Overview== | |||
[[Atrial septal defect surgical closure|Surgical closure]] has been the procedure of choice for closure of [[atrial septal defect]]. It is indicated for patients with [[Atrial septal defect ostium primum|primum]], [[Atrial septal defect sinus venosus|sinus venosus]] and [[Atrial septal defect coronary sinus | coronary sinus]] type of [[atrial septal defect]]s. Whereas, [[Ostium secundum atrial septal defects|ostium secundum]] [[atrial septal defect]]s are commonly treated by [[Percutaneous atrial septal defect|percutaneous closure]]. | |||
==Steps During Surgery== | |||
'''1)''' [[Median sternotomy]] or right anterolateral submammary sub pectoral incision (preferred in females) | |||
'''2)''' [[Sternum]] is split in the midline. | |||
'''3)''' Direct arterial and double venous ([[superior vena cava]] and [[inferior vena cava]]) cannulation are performed. | |||
'''4)''' [[Cardiopulmonary bypass]] applied | |||
'''5)''' [[Aorta]] clamped | |||
'''6)''' Heart is arrested with a [[cardioplegia]] solution. | |||
'''7)''' Right atrium is opened. | |||
'''8)''' Defect repaired either by continuous [[prolene]] suture or with the use of patch | |||
'''9)''' Patch can be natural (autologus [[pericardium]]), bovine pericardium or artificial [[polytetrafluoroethylene]] (PTFE) or [[dacron]]. | |||
==Surgical Repair== | ==Surgical Repair== | ||
{{#ev:youtube|PbQhiv6OB0E}} | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
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[[Category:Cardiology]] | [[Category:Cardiology]] | ||
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[[Category:Pediatrics]] | [[Category:Pediatrics]] | ||
[[Category:Embryology]] | [[Category:Embryology]] | ||
[[Category:Disease | [[Category:Disease]] | ||
Latest revision as of 02:32, 15 March 2016
Atrial Septal Defect Microchapters | |
Treatment | |
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Surgery | |
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Special Scenarios | |
Case Studies | |
Atrial septal defect video showing surgical repair On the Web | |
American Roentgen Ray Society Images of Atrial septal defect video showing surgical repair | |
Atrial septal defect video showing surgical repair in the news | |
Risk calculators and risk factors for Atrial septal defect video showing surgical repair | |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editors-In-Chief: Priyamvada Singh, MBBS [2]; Cafer Zorkun, M.D., Ph.D. [3]; Assistant Editor-In-Chief: Kristin Feeney, B.S. [4]
Overview
Surgical closure has been the procedure of choice for closure of atrial septal defect. It is indicated for patients with primum, sinus venosus and coronary sinus type of atrial septal defects. Whereas, ostium secundum atrial septal defects are commonly treated by percutaneous closure.
Steps During Surgery
1) Median sternotomy or right anterolateral submammary sub pectoral incision (preferred in females)
2) Sternum is split in the midline.
3) Direct arterial and double venous (superior vena cava and inferior vena cava) cannulation are performed.
4) Cardiopulmonary bypass applied
5) Aorta clamped
6) Heart is arrested with a cardioplegia solution.
7) Right atrium is opened.
8) Defect repaired either by continuous prolene suture or with the use of patch
9) Patch can be natural (autologus pericardium), bovine pericardium or artificial polytetrafluoroethylene (PTFE) or dacron.
Surgical Repair
{{#ev:youtube|PbQhiv6OB0E}}