OBJECTIVES: Atrial septostomy is essential for palliation of some complex @entity154 , such as @entity3886 and left-/right-sided @entity849 or @entity1146 . Conventionally, balloon @entity955 is done in neonates. Beyond the neonatal period, surgical septostomy is done using cardiopulmonary bypass and can lead to increased morbidity and mortality. We report a new technique of @entity955 without cardiopulmonary bypass and its follow-up. METHODS: Eleven cases underwent @entity955 without using cardiopulmonary bypass from January 2009 to June 2010. Median age of @entity1 was 7 months (2-12 months) and median weight was 6.3 kg (range 4.5-10 kg). Surgical septostomy was performed through the right atrial appendage with a @entity29228 's dilator, aided by intra-operative transesophageal echocardiography. @entity118 ( @entity118 ) less than 5mm was enlarged with a Kerrison bone punch and then dilated with a @entity29228 's dilator. Associate procedures performed were off-pump Glenn in seven cases, pulmonary artery (PA) banding in three cases, and shunt with PA band in one case. RESULTS: All the restricted ASDs were successfully enlarged with adequate interatrial shunting without any gradient. Echocardiography revealed no evidence of introduction of air or particulate emboli, and no tricuspid @entity340 or @entity616 . There was no postoperative mortality. Follow-up ranged from 1 to 18 months (median 11 months). Echocardiography showed good PA band gradient/well-functioning Glenn shunt and unobstructed @entity118 with good @entity26 saturation. CONCLUSIONS: This technique demonstrates the surgical feasibility of a beating-heart @entity955 . It avoids the adverse effects of cardiopulmonary bypass, reduces morbidity, and has no mortality. It is safe, economical, and easily reproducible. To our knowledge, this technique has not been reported in literature so far.

New technique of off-pump XXXX .

@entity1 :: ('9606', 'Species') :: ['patients'] @entity154 :: ('MESH:D000013', 'Disease') :: ['congenital cardiac anomalies'] @entity3886 :: ('MESH:D014188', 'Disease') :: ['transposition of the great arteries'] @entity29228 :: ('203068', 'Gene') :: ['Tubb'] @entity26 :: ('MESH:D010100', 'Chemical') :: ['oxygen'] @entity849 :: ('MESH:D011666', 'Disease') :: ['atrioventricular valve stenosis'] @entity955 :: ('MESH:D001281', 'Disease') :: ['atrial septostomy'] @entity1146 :: ('MESH:D018633', 'Disease') :: ['atresia'] @entity118 :: ('MESH:D006344', 'Disease') :: ['Atrial septal defect', 'ASD'] @entity340 :: ('MESH:D006349', 'Disease') :: ['valve injury'] @entity616 :: ('MESH:D006327', 'Disease') :: ['heart block']
@entity154 :: (MESH:D000013,Disease) :: ['atrial septostomy for complex congenital cardiac anomalies']
