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Ann Thorac Surg 2001;71:1716-1718
© 2001 The Society of Thoracic Surgeons

How to do it

Transxiphoid approach for intracardiac repair using video-assisted cardioscopy

Kagami Miyaji, MDa, Arata Murakami, MDa, Jotaro Kobayashi, MDa, Yoshihiro Suematsu, MDa, Shinichi Takamoto, MDa

a Department of Cardiothoracic Surgery, University of Tokyo Hospital, Tokyo, Japan

Accepted for publication December 20, 2000.

Address reprint requests to Dr Miyaji, Department of Cardiothoracic Surgery, Kanagawa Children’s Medical Center, 2-138-4 Mutsukawa, Minami-ku, Yokohama, Japan 232-0066
e-mail: Kagami111{at}aol.com

Video-assisted cardioscopy (VAC) is a novel tool for providing clear visualization of small intracardiac structures and achieving complete repair in minimally invasive surgery. Between July 1999 and July 2000, 12 patients with atrial septal defect and ventricular septal defect underwent surgical repair using a combined procedure with the transxiphoid approach and VAC in our institution. The mean skin incision was 5.4 cm, and the postoperative courses of all the patients were uneventful without any complications. The mean hospital stay was 8.3 days and 1 patient (8.3%) needed blood products. Our experience showed the technical feasibility and acceptable surgical results of transxiphoid approach using a VAC.






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