Off-pump atrial septostomy with thoracoscopic scissors under transesophageal echocardiography guidance

Benedict, Raj R.; Kumar, Anuj; Francis, Edwin; Kumar, Raman

doi:10.4103/0974-2069.115273

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2017

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“…Forceps with sharper teeth may easily tear off the tissue. Although we attempted to use thoracoscopic scissors [5] for atrial septectomy, the knife point could not be visualized on echocardiography, and the site of resection could not be confirmed.…”

Section: Commentmentioning

confidence: 99%

Off-Pump Atrial Septectomy for Infants With Restrictive Atrial Septal Defect

Fuchigami¹,

Nishioka²,

Akashige³

et al. 2017

The Annals of Thoracic Surgery

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The management of some subsets of patients with an unsuccessful balloon atrial septostomy (BAS) and poor general condition is typically challenging. Our novel technique involves off-pump atrial septectomy using laparoscopic forceps guided by intraoperative direct pericardial echocardiography. The technique was first used in a case of tricuspid atresia in a patient in preshock and was then used in 2 more patients with hypoplastic left heart syndrome (HLHS) (age, 10-116 days; body weight, 2.4-3.7 kg). There were no operative complications of embolism or bleeding in our series. Our off-pump atrial septectomy technique is an effective approach in specific cases.

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Section: Commentmentioning

confidence: 99%