Atrial Septal Defect Closure (ASD)
Objective
• To open chest
• To
close a defect (hole) in the atrial septum.
Position
• Left semilateral/supine.
Anesthesia
General, endotracheal.
Procedure
1. Catheterization: Cleaning and draping.
2. Skin incision with No. 4 BP handle with No. 20
blade.
3. Saw and cable for sternotomy.
4. Pericardiotomy: Stay suture 2/0 At. silk.
5. Loop the SVC and IVC.
6. Keep ready for venous tubing, aortic tubing
and cardioplegia tubing.
7. Aortic purse string 3.0 T3 single arm suture
(2) cannulated.
8. IVC purse string and cannulation.
9. SVC purse string and cannulation.
10. Aortic cannulation No. 11 knife for hole in
the aorta. Insert cannula, silk tie. Connect the venous and arterial line in
SVC and IVC.
11. Cardioplegia stitch 4.0 T3 single arm,
arterial line, scissors, snugger medium snap, cardioplegia cannula, silk tie.
12. Scissors for opening the RA.
13. Direct closure 4.0 T3 stitch or Dacron patch
4/0 Surgilene.
14. RA closure 5/0 Prolene.
15. Decannulation, Pacing wire.
16. Drainage tube.
17. Sponge and instruments count.
18. Sternum closure—muscle and subcutaneous.
Instruments
• Cleaning tray
• Catheterization
set
• Cardiac
set
• Open
heart vascular set
• Open
heart special set
• Open
heart water seal.
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