Volume 32, Issue 10 pp. 659-661

SURGICAL TECHNIQUE

An alternative technique of atrial septectomy during bidirectional superior cavopulmonary anastomosis

Sachin Talwar MCh,

Corresponding Author

Sachin Talwar MCh

[email protected]

orcid.org/0000-0002-9063-7691

Departments of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India

Correspondence

Sachin Talwar MCh, Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi 110029, India. Email: [email protected]

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Yatin Arora MS,

Yatin Arora MS

Departments of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India

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Sukhjeet Singh MCh,

Sukhjeet Singh MCh

Departments of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India

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Balram Airan MCh,

Balram Airan MCh

Departments of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India

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Sachin Talwar MCh,

Corresponding Author

Sachin Talwar MCh

[email protected]

orcid.org/0000-0002-9063-7691

Departments of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India

Correspondence

Sachin Talwar MCh, Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi 110029, India. Email: [email protected]

Search for more papers by this author

Yatin Arora MS,

Yatin Arora MS

Departments of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India

Search for more papers by this author

Sukhjeet Singh MCh,

Sukhjeet Singh MCh

Departments of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India

Search for more papers by this author

Balram Airan MCh,

Balram Airan MCh

Departments of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India

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First published: 11 September 2017

https://doi.org/10.1111/jocs.13205

Citations: 1

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Abstract

An atrial septectomy is often required to create or enlarge a pre-existing restrictive atrial septal defect in patients with univentricular hearts undergoing the bidirectional superior cavopulmonary anastomosis. We describe an alternative surgical technique through the transected cardiac end of the superior vena cava without a right atriotomy successfully performed in 26 patients.

REFERENCES

1 Hopkins RA, Armstrong BE, Serwer GA, et al. Physiologic rationale for a bidirectional cavopulmonary shunt. J Thorac Cardiovasc Surg. 1985; 90: 391–398.
CAS PubMed Web of Science® Google Scholar
2 Talwar S, Gupta A, Nehra A, et al. Bidirectional superior cavopulmonary anastomosis with or without cardiopulmonary bypass. A randomized study. J Cardiac Surg. 2017; 32: 376–381.
10.1111/jocs.13149
PubMed Web of Science® Google Scholar
3 Jonas RA. Hypoplastic left heart syndrome. In: RA Jonas ed. Comprehensive Surgical Management of Congenital Heart Disease. 2014; 2nd ed. Boca Raton: CRC Press, p 445–463.
10.1201/b13497-24
Google Scholar
4 Blalock A, Hanlon CR. The surgical treatment of complete transposition of the aorta and the pulmonary artery. Surg Gynecol Obstet. 1950; 90: 1–15.
CAS PubMed Web of Science® Google Scholar
5 Lindesmith GG, Meyer BW, Jones JC, et al. Palliative procedure for treatment of transposition of the great vessels. Circulation. 1965; 31: 21–24.
10.1161/01.CIR.31.4S1.I-21
Web of Science® Google Scholar
6 Rastan H, Koncz J. A new method of closed atrioseptectomy for palliative treatment of complete transposition of the great vessels. J Thorac Cardiovasc Surg. 1971; 61: 705–709.
CAS PubMed Web of Science® Google Scholar
7 Watanabe T, Abe T, Tanaka M. Kajiyama M. simple surgical atrial septectomy for complex congenital heart disease. Thorac Cardiovasc Surg. 1994; 42: 313–314.
10.1055/s-2007-1016512
CAS PubMed Web of Science® Google Scholar
8 Talwar S, Bhoje A, Choudhary SK, Airan B. Atrial septectomy through the left atrial appendage. Indian J Thorac Cardiovasc Surg. 2017; 33: 249–251.
10.1007/s12055-017-0514-1
Web of Science® Google Scholar
9 Talwar S, Rajashekar P, Muthukkumaran S, et al. An alternative approach for repair of total anomalous pulmonary venous connection to the coronary sinus at the time of extracardiac total cavopulmonary connection. J Card Surg. 2014; 29: 403–405.
10.1111/jocs.12282
CAS PubMed Web of Science® Google Scholar
10 Love BA, Collins KK, Walsh EP, Triedman JK. Electroanatomic characterization of conduction barriers in sinus/atrially paced rhythm and association with intra-atrial re-entrant tachycardia circuits following congenital heart disease surgery. J Cardiovasc Electrophysiol. 2001; 12: 17–25.
10.1046/j.1540-8167.2001.00017.x
Google Scholar
11 Alsaied T, Bokma JP, Engel ME, et al. Predicting long-term mortality after Fontan procedures: a risk score based on 6707 patients from 28 studies. Congenit Heart Dis. 2017. doi: 10.1111/chd.12468.
10.1111/chd.12468
PubMed Web of Science® Google Scholar

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An alternative technique of atrial septectomy during bidirectional superior cavopulmonary anastomosis

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