Decompression after an open heart surgery is necessary to prevent cardiac tamponade and to monitor if there is a surgical cause of bleeding. In most centers here in our country this is achieved by multiple large bore (F28-F36) semi-rigid chest tubes. In the United States some institutions have started using a smaller more flexible drains Blakedrains, following open heart surgery with good initial results. Here in our country these drains are not yet available so a comparable substitute was look for. Jackson Pratt drains are being extensively used in general surgery in order to drain body fluids and they work like Blakedrain and are of the same size. this research aim to gather data with the use of Jackson Pratt drain after closure of Atrial Septal Defect and compare them with the conventional chest tubes. From January 2002 until June 2002 nine adult patients diagnosed with Congenital Heart Disease Atrial Septal Defect secundum type with normal to mild pulmonary hypertension underwent ASD Closure afterwhich the conventional chest tubes were used as drainage (GROUP A). From July 2002 until March 2003 the same number of patients with the same characteristics underwent ASD Closure afterwhich Jackson Pratt was used for drainage (GROUP B). The mean ischemic and bypass time for both groups is not statistically different and so is the mean amount of drainage. Pain on removal and cost is lower with the Jackson Pratt group. As a conclusion, Jackson Pratt is comparable, more comfortable and less expensive than the conventional chest tubes when used after Closure of Atrial Septal Defect.
Keywords. Atrial Septal Defect, Jackson Pratt drain