Watanabe T, Abe T, Tanaka M, Kajiyama M, Miyahara K, Suenaga Y, Tajima K
Department of Thoracic Surgery, Nagoya University School of Medicine, Japan.
Thorac Cardiovasc Surg. 1994 Oct;42(5):313-4. doi: 10.1055/s-2007-1016512.
A simple method of surgical atrial septectomy using a rongeur (Kerrison bone-cutting forceps), which is used in neurosurgery, is described. The closed rongeur is inserted into the left atrium through the right atrial appendage and the atrial septum. Then it is opened and the edge of the atrial septal defect and/or patent foramen ovale can be hooked by pulling slowly. The rongeur is then tightly closed again and pulled out together with the resected atrial specimen. This technique is safer and simpler than the Blalock-Hanlon technique or atrial septectomy with extra-corporeal circulation for older infants in whom balloon atrial septostomy is difficult.
描述了一种使用咬骨钳（克里森咬骨钳）进行外科房间隔切除术的简单方法，该咬骨钳用于神经外科手术。将闭合的咬骨钳通过右心耳和房间隔插入左心房。然后打开咬骨钳，通过缓慢牵拉可钩住房间隔缺损边缘和/或卵圆孔未闭。接着再次紧紧闭合咬骨钳，并将切除的心房标本一起拉出。对于较年长婴儿，这种技术比布劳洛克 - 汉隆技术或体外循环下房间隔切除术更安全、更简单，因为这些婴儿进行球囊房间隔造口术很困难。
