1.A Case of Coronary Sinus Type Atrial Septal Defect Treated by 3-Port Totally Endoscopic Surgery
Mamoru ORII ; Toshiaki ITO ; Atsuo MAEKAWA ; Sadanari SAWAKI ; Jyunji YANAGISAWA ; Masayoshi TOKORO ; Takahiro OZEKI ; Toshiyuki SAIGA
Japanese Journal of Cardiovascular Surgery 2019;48(1):39-42
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.
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