Fermeture de communication inter-auriculaire par mini-thoracotomie a l'aide d'une circulation extra-corporelle optimalisee. [Closure of an atrial septal defect by a mini-thoracotomy with the help of extra-corporal circulation]

Details

Serval ID
serval:BIB_C6CC973BBE7E
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Fermeture de communication inter-auriculaire par mini-thoracotomie a l'aide d'une circulation extra-corporelle optimalisee. [Closure of an atrial septal defect by a mini-thoracotomy with the help of extra-corporal circulation]
Journal
Revue Médicale de la Suisse Romande
Author(s)
Berthod  J., Tevaearai  H. T., Mueller  X. M., Mabillard  E., Von Segesser  L. K., Stumpe  F.
ISSN
0035-3655
Publication state
Published
Issued date
07/2000
Volume
120
Number
7
Pages
569-72
Notes
Case Reports
English Abstract
Journal Article --- Old month value: Jul
Abstract
AIM OF THE STUDY: "Minimal invasive" surgical closure of an atrial septal defect (ASD) is performed under femoro-femoral CPB, the superior vena cava being (IVC) drained by a supplementary cannula placed directly through the thoracic opening. We present a new technique where both vena cavae are drained by a single 2 stage femoral cannula. METHODS: The cannula is introduced through the femoral vein and its distal holes are directed into the superior vena cava (SVC) while the proximal holes are maintained into the IVC. A centrifugal pump is placed on the venous line between the cannula and the venous reservoir in order to improve the venous return. Both IVC and SVC are clamped around the cannula to isolate the right atrium before opening it and repairing the ASD. RESULTS: We recently operated on a 60 years old man using this technique. Passive venous drainage was 2.6 l/min whereas the perfusion theoretical flow was 5.4 l/min. But adding the centrifugal pump increased the flow to 5.4 l/min which ensured an optimal perfusion flow. CPB time was 38 minutes and operative time was 140 minutes. There were no complications and the patient returned home at day 5 following the operation. CONCLUSIONS: Using a single venous cannula for drainage of both vena cavae simplifies the technique and therefore contributes to the development of "minimally invasive" cardiac surgery.
Keywords
Cardiopulmonary Bypass/instrumentation/*methods Equipment Design Femoral Vein Heart Septal Defects, Atrial/*surgery Humans Male Middle Aged Surgical Procedures, Minimally Invasive/*methods Thoracotomy/*methods Time Factors Treatment Outcome Venae Cavae
Pubmed
Create date
14/02/2008 14:18
Last modification date
20/08/2019 15:42
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