Matsuzaki K, Konishi T, Fukata M, Takeda M, Furuya K
Division of Cardiovascular Surgery, Yokohama Rosai Hospital.
J Cardiol. 2000 Apr;35(4):297-300.
Minimal incision cardiac surgery for atrial septal defects was performed in 4 consecutive patients. No special devices or new techniques were used to perform this operation. Clamping of the aorta and snaring of the inferior vena cava could be simply omitted from this procedure. A limited(6 to 7 cm) median skin incision was made, followed by a mini-sternotomy from the second intercostal space to right side of the xiphoid process. Through this limited approach, atrial septal defect closure was performed conventionally with a patch under hypothermic circulatory arrest(less than 10 min). The scar was short(5.5 to 7.3 cm) and cosmetically acceptable in all patients. This mini-incisional procedure is a useful option for atrial septal defect closure that can be completed without sophisticated instruments.
对4例连续性患者实施了微小切口心脏手术治疗房间隔缺损。该手术未使用特殊器械或新技术。此手术过程中可简单省略主动脉阻断和下腔静脉圈套。做一个有限的（6至7厘米）正中皮肤切口，然后从第二肋间间隙至剑突右侧做一个小胸骨切开术。通过这种有限的入路，在低温循环停止（少于10分钟）下常规用补片封闭房间隔缺损。所有患者的瘢痕都很短（5.5至7.3厘米），且美容效果可接受。这种微小切口手术是一种有用的房间隔缺损封闭术式选择，无需复杂器械即可完成。
