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Ann Thorac Surg 1998;66:1433-1435
© 1998 The Society of Thoracic Surgeons

How to Do It

Repair of secundum atrial septal defect: limiting the incision without sacrificing exposure

Junaid H. Khan, MDa, Doff B. McElhinney, MDa, V. Mohan Reddy, MDa, Frank L. Hanley, MDa

a Division of Cardiothoracic Surgery, University of California, San Francisco, San Francisco, California, USA

Accepted for publication June 1, 1998.

Address reprint requests to Dr Reddy, Cardiac Surgery, UCSF, 505 Parnassus Ave, M593, San Francisco, CA 94143-0118

A simple and effective technique for repair of secundum atrial septal defect is described. The heart is exposed through a limited midline skin incision and partial sternotomy, and the atrial septal defect is closed through a right atriotomy with ascending aortic and dual venous cannulation. This approach achieves a cosmetically superior result with standard instrumentation and cardiopulmonary bypass techniques, without compromising exposure or using peripheral incisions.




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