Revista Brasileira de Cirurgia Cardiovascular
Print version ISSN 0102-7638
BARBERO-MARCIAL, Miguel et al. Transxiphoid approach without sternotomy for the correction of atrial septal defect. Rev Bras Cir Cardiovasc [online]. 1996, vol.11, n.4, pp. 287-291. ISSN 0102-7638. http://dx.doi.org/10.1590/S0102-76381996000400011.
PURPOSE: Evaluate a new access for surgical correction of atrial septal defects. METHODS: The access by xiphoid window was done in 7 cases with atria! septal defect type ostium secundum. The age ranged from 6 months to 14 years, mean-age 5.1 years old. In all cases the extracorporeal circulation was done with femoral artery and right atrial cannulation and aortic clamping. The video-assisted endoscopy was utilized to help the visualization of the aorta, ductus arteriosus and the anatomy of the left intracardiac structures. RESULTS: There was no intraoperative or postoperative complications and in our 7 cases the extubation at the operating room was possible. CONCLUSION: The xiphoid window without opening the sternum permited correction of the atrial septal defect with good results and without complications, and could be used as a new technique, less invasive, to correct these defects.
Keywords : Atrial heart septal defects [surgery]; Xiphoid bone; Extracorporeal circulation; Thoracoscopy; Surgery, minimally invasive.