International Journal of Cardiovascular and Thoracic Surgery
Volume 6, Issue 2, March 2020, Pages: 23-27
Received: May 27, 2020;
Accepted: Jun. 12, 2020;
Published: Jun. 29, 2020
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Amitabh Satsangi, Department of Cardiothoracic and Vascular Surgery, All India Institute of Medical Sciences, New Delhi, India
Biswajit Singh, Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India
Surabhi Puri, Department of Community Medicine, All India Institute of Medical Sciences, New Delhi, India
In the current era of cardiothoracic surgery, a trainiee embarks on his operative journery with learing to operate upon a patient suffering from ostium secundum atrial septal defect. This procedure involves all the essential steps required in cardiac surgery procedures and one should master the steps of this operation to be able to perform and understand other cardiac operations. OS-ASD closure is one of the first open heart procedures performed by a trainee or resident. This article deals with detailed operative steps as to how to perform sternotomy, put a patient on cardiopulmonary bypass machine, perform atrial septum defect closure and get a patient off cardiopulmonary bypass. Procedural training in current practice is often unsystematic and unstructured, and validated teaching methods have not been well integrated into clinical education. Minutest details performed during the procedure are mentioned in this article aimed for residents in cardiovascular thoracic surgery. Though there are multiple texts available in literature as how to perform the above mentioned procedure, they lack in technical details and thus residents have difficulty while operating. I would like to delineate detailed steps for ostium secundum atrial septum closure for beginners. This is meant for revision preoperatively of all the step one has to perform while doing surgery.
Operative Steps for OS-ASD Closure for Beginners, International Journal of Cardiovascular and Thoracic Surgery.
Vol. 6, No. 2,
2020, pp. 23-27.
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Grantcharov T. P., Reznick R. K. Teaching procedural skills, BMJ, 2008, vol. 336 (pg. 1129-1131).
Alexi-Meskishvili VV, Konstatinov IE. Surgery for atrial septal defect: from first experiments to clinical practice. Ann Thorac Surg. 2003; 76: 322-7.
Liava'a, Matthew, and David Kalfa. “Surgical closure of atrial septal defects.” Journal of thoracic disease vol. 10, Suppl 24 (2018): S2931-S2939. doi: 10.21037/jtd.2018.07.116.
Emily Bond, Crystal Valadon and Mark Slaughter (October 3rd 2019). Cannulation for Cardiopulmonary Bypass, Cardiac Surgery Procedures, Andrea Montalto, Antonio Loforte and Cristiano Amarelli, IntechOpen, DOI: 10.5772/intechopen.86033. Available from: https://www.intechopen.com/books/cardiac-surgery-procedures/cannulation-for-cardiopulmonary-bypass.
Reser, D., Caliskan, E., Tolboom, H., Guidotti, A., & Maisano, F. (2015). Median sternotomy. Multimedia Manual of Cardio-Thoracic Surgery, 2015, mmv017. doi: 10.1093/mmcts/mmv017.
Julian OC, Lopez-Belio M, Dye WS, Javid H, Grove WJ. The median sternal incision in intracardiac surgery with extracorporeal circulation: a general evaluation of its use in heart surgery. Surgery 1957; 42: 753–61.
Cooley DA, Norman JC: Cannulation for temporary bypass. In Techniques in Cardiac Surgery. Houston, Texas Medical Press, 1975, p 57.
Roe BB, Kelly PB: Perfusion through the ascending aorta: experience with 410 cases. Ann Thorac Surg 7: 238, 1969.
Garcia-Rinaldi R, Vaughan III GD, Revuelta JM, Goiti JJ, Gomez-Duran C. Simplified aortic cannulation. The Annals of thoracic surgery. 1983 Aug 1; 36 (2): 226-7.
Hessel EA II, Edmunds LH Jr. Perfusion systems. In: Cohn LH, Edmunds LH Jr, eds. Cardiac surgery in the adult. 2nd ed. New York, NY: McGrawHill, 2003; 317–338.
Hessel EA. Cardiopulmonary bypass equipment. In: Estafanous FG, Barash PG, Reves JG, eds. Cardiac anesthesia: principles and clinical practice. 2nd ed. Philadelphia, Pa: Lippincott Williams & Wilkins, 2001; 335–386.
Khonsri S, Sintek CF. Cardiac surgery: safeguards and pitfalls in operative techniques. 4th ed. Philadelphia, Pa: Lippincott Williams & Wilkins, 2008; 21–46.
Sarkar, Manjula, and Vishal Prabhu. “Basics of cardiopulmonary bypass.” Indian journal of anaesthesia vol. 61, 9 (2017): 760-767. doi: 10.4103/ija.IJA_379_17.
Francesco Nicolini, Cesare Beghi, Claudio Muscari, Andrea Agostinelli, Alessandro Maria Budillon, Igino Spaggiari, Tiziano Gherli, Myocardial protection in adult cardiac surgery: current options and future challenges, European Journal of Cardio-Thoracic Surgery, Volume 24, Issue 6, December 2003, Pages 986–993, https://doi.org/10.1016/S1010-7940(03)00475-5.
Talwar, S., Jha, A. J., Hasija, S. et al. Paediatric myocardial protection-strategies, controversies and recent developments. Indian J Thorac Cardiovasc Surg 29, 114–123 (2013). https://doi.org/10.1007/s12055-013-0208-2.