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Closure of atrial septal defects without cardiopulmonary bypass: The sandwich operation  Wiwat Warinsirikul, MD, Surapot Sangchote, MD, Pirapat Mokarapong,

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Presentation on theme: "Closure of atrial septal defects without cardiopulmonary bypass: The sandwich operation  Wiwat Warinsirikul, MD, Surapot Sangchote, MD, Pirapat Mokarapong,"— Presentation transcript:

1 Closure of atrial septal defects without cardiopulmonary bypass: The sandwich operation 
Wiwat Warinsirikul, MD, Surapot Sangchote, MD, Pirapat Mokarapong, MD, Sant Chaiyodsilp, MD, Supreecha Tanamai, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 121, Issue 6, Pages (June 2001) DOI: /mtc Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

2 Fig. 1 The sandwich patch. A , Left-side view; B , lateral view; C , right-side view. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

3 Fig. 2 The larger patch was grasped with an O'Shaugnessy clamp covered with a rubber tube. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

4 Fig. 3 The patch was passed into the right atrium through the superior purse-string suture and guided by the right index finger. AV node , Atrioventricular node; CS , coronary sinus; IVC , inferior vena cava; PV , pulmonary vein; RV , right ventricle; SVC , superior vena cava; TV , tricuspid valve. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

5 Fig. 4 Three external transfixing sutures were placed.
The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

6 Fig. 5 Stapling was carried out along the edge of the patch guided by the left index finger. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

7 Fig. 6 Schematic drawing of intraoperative transesophageal echocardiography demonstrated closure of ASD with the sandwich patch. LA , Left atrium; LV , left ventricle; RA , right atrium; RV , right ventricle. The Journal of Thoracic and Cardiovascular Surgery  , DOI: ( /mtc ) Copyright © 2001 American Association for Thoracic Surgery Terms and Conditions

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