A Case of Coronary Sinus Type Atrial Septal Defect Treated by 3-Port Totally Endoscopic Surgery
- VernacularTitle:3ポート完全胸腔鏡下パッチ閉鎖を行った冠静脈洞型心房中隔欠損症の1例
- Author:
Mamoru ORII
1
;
Toshiaki ITO
1
;
Atsuo MAEKAWA
1
;
Sadanari SAWAKI
1
;
Jyunji YANAGISAWA
1
;
Masayoshi TOKORO
1
;
Takahiro OZEKI
1
;
Toshiyuki SAIGA
1
Author Information
- Keywords: coronary sinus atrial septal defect; minimally invasive cardiac surgery; thoracoscope; endoscope; unroofed coronary sinus
- From:Japanese Journal of Cardiovascular Surgery 2019;48(1):39-42
- CountryJapan
- Language:Japanese
- Abstract: A 15-year-old boy with coronary sinus type atrial septal defect (CS-ASD) was surgically treated with 3-port totally endoscopic technique. The patient was set in a left semi-lateral position. A 3 cm skin incision retracted by a small wound protector, a trocar for the endoscope, and a trocar for left-handed instruments were placed in the right antero-lateral chest. Cardio-pulmonary bypass was established via groin cannulation. After cardioplegic arrest, the CS-ASD was favorably exposed through the left atriotomy, and closed using a bovine pericardial patch. The total operation time was 112 min. The post-operative course was uneventful. Instead of the traditional median sternotomy and right atriotomy, small right thoracotomy and left atriotomy may be a promising alternative for closure of CS-ASD.
