Unbound MEDLINE

A simple surgical atrial septectomy for complex congenital heart disease.

Abstract

A simple method of surgical atrial septectomy using a rongeur (Kerrison bone-cutting forceps), which is used in neurosurgery, is described. The closed rongeur is inserted into the left atrium through the right atrial appendage and the atrial septum. Then it is opened and the edge of the atrial septal defect and/or patent foramen ovale can be hooked by pulling slowly. The rongeur is then tightly closed again and pulled out together with the resected atrial specimen. This technique is safer and simpler than the Blalock-Hanlon technique or atrial septectomy with extra-corporeal circulation for older infants in whom balloon atrial septostomy is difficult.

Links

  • Publisher Full Text
  • Authors

    Watanabe T, Abe T, Tanaka M, Kajiyama M, Miyahara K, Suenaga Y, Tajima K

    Source

    The Thoracic and cardiovascular surgeon 42:5 1994 Oct pg 313-4

    MeSH

    Heart Defects, Congenital
    Heart Septal Defects, Atrial
    Heart Septum
    Humans
    Infant
    Methods

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    7863497