Atrial septal defect video showing surgical repair: Difference between revisions
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==Overview== | ==Overview== | ||
Surgical | [[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== | ==Steps during surgery== |
Revision as of 13:53, 11 September 2011
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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 incision.
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
<youtube v=PbQhiv6OB0E/>