Jm. Simpson et al., CLOSED ATRIAL SEPTECTOMY WITH BROCK PUNCH AIDED BY OPERATIVE TRANSESOPHAGEAL ECHOCARDIOGRAPHY, The Annals of thoracic surgery, 60(6), 1995, pp. 1794-1795
A 5-week-old infant with mitral atresia and double-outlet right ventri
cle underwent blade atrial septostomy complicated by cardiac tamponade
. Surgical septectomy was performed using a Brock punch aided by intra
operative transesophageal echocardiography. This was well tolerated, a
nd the adequacy of the septectomy could be assessed immediately.