Selected children with congenital heart defects undergoing palliative closed heart procedures require a cardiopulmonary bypass (CPB) run only for the purpose of creating an inter-atrial communication. We report a simple technique of atrial septostomy using thoracoscopy scissors under transesophageal echocardiography guidance without the need for CPB.
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R. Ra Benedict, Kumar, Aa, Francis, Eb, and Kumar, RbKrishna, “Off-pump atrial septostomy with thoracoscopic scissors under transesophageal echocardiography guidance”, Annals of Pediatric Cardiology, vol. 6, pp. 170-172, 2013.