Transxiphoid approach for intracardiac repair using video-assisted cardioscopy  Kagami Miyaji, MD, Arata Murakami, MD, Jotaro Kobayashi, MD, Yoshihiro.

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Presentation transcript:

Transxiphoid approach for intracardiac repair using video-assisted cardioscopy  Kagami Miyaji, MD, Arata Murakami, MD, Jotaro Kobayashi, MD, Yoshihiro Suematsu, MD, Shinichi Takamoto, MD  The Annals of Thoracic Surgery  Volume 71, Issue 5, Pages 1716-1718 (May 2001) DOI: 10.1016/S0003-4975(01)02423-7 Copyright © 2001 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Operative view of combined procedure with transxiphoid approach and video-assisted cardioscope. Kent retractor was positioned at upper edge of xiphoid process to provide superior and anterior traction. Arterial cannula is inserted into ascending aorta using the Seldinger method. The Annals of Thoracic Surgery 2001 71, 1716-1718DOI: (10.1016/S0003-4975(01)02423-7) Copyright © 2001 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Clear, precise visualization of right ventricular cavity provided by the video-assisted cardioscope in double chamber of right ventricle. The small ostium infundibulum surrounded by fibrous tissues and perimembranous ventricular septal defect (VSD) were observed. The Annals of Thoracic Surgery 2001 71, 1716-1718DOI: (10.1016/S0003-4975(01)02423-7) Copyright © 2001 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Perimembranous ventricular septal defect (VSD) shown using video-assisted cardioscopy. The cardioscope confirmed that stitches were in proper position during the procedure and facilitated closing the defect without injuring the aortic valve and conduction system. The Annals of Thoracic Surgery 2001 71, 1716-1718DOI: (10.1016/S0003-4975(01)02423-7) Copyright © 2001 The Society of Thoracic Surgeons Terms and Conditions