SciELO - Scientific Electronic Library Online

vol.11 issue4Technical modifications in the surgery of supravalvar aortic stenosisEffects of the propofol in the myocardial contractile response to dopamine and dobutamine in isolated rat's heart author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links


Brazilian Journal of Cardiovascular Surgery

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.

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.

        · abstract in Portuguese     · text in Portuguese     · Portuguese ( pdf epdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License