Atrial septal defect video showing surgical repair


 * Associate Editors-In-Chief: Priyamvada Singh, MBBS [mailto:psingh@perfuse.org]; ; Assistant Editor-In-Chief: Kristin Feeney, B.S. [mailto:kfeeney@perfuse.org]

Overview
Surgical closure has been the procedure of choice for closure of atrial septal defect. It is indicated for patients with primum, sinus venosus and coronary sinus type of atrial septal defects. Whereas, ostium secundum atrial septal defects are commonly treated by percutaneous closure.

Steps during surgery
1) Median sternotomy or right anterolateral submammary sub pectoral incision (preferred in females)

2) Sternum is split in the midline.

3) Direct arterial and double venous (superior vena cava and inferior vena cava) cannulation are performed.

4) Cardiopulmonary bypass applied

5) Aorta clamped

6) Heart is arrested with a cardioplegia solution.

7) Right atrium is opened.

8) Defect repaired either by continuous prolene suture or with the use of patch

9) Patch can be natural (autologus pericardium), bovine pericardium or artificial polytetrafluoroethylene (PTFE) or dacron.

Surgical Repair
