Journal of Shanghai Jiaotong University(Medical Science) 2011;31(3):343-345

doi:10.3969/j.issn.1674-8115.2011.03.022

Occlusion of atrial septal defect utilizing occluder devise via minimally invasive right chest approach

Feng LI ; Wei LI ; Ning KANG ; Baosheng GONG ; Dongjin WU ; Fangjie XU ; Zhaokun QIU ; Weihua WU

Keywords

minimally invasive; atrial septal defect; occluder device

Country

China

Language

Chinese

Abstract

Objective To evaluate atrial septal defect (ASD) occlusion employing a small right anterior thoracotomy approach. Methods A total of 21 patients with ASD underwent general anesthesia and 2 -3 cm incision was made in the fourth right intercostal space. Utilizing transesophageal or transthoracic echocardiography, the occluder was released using a monotube unit. Results All patients were occluded successfully. No patient required open surgery utilizing extracorporeal circulation. There were no major complications and no evidence of residual atrial shunt. Conclusion ASD occlusion via a minimal surgical incision is safe, less invasive, and has excellent outcomes.