3D-video- and robot-assisted minimally invasive ASD closure using the Port-Access techniques.
BACKGROUND
Video-assisted minimally invasive surgical methods with endovascular-based femoral cardiopulmonary bypass (CPB) and balloon occlusion of the aorta (Port-Access technique) were used to close an ostium-secundum atrial septal defect (ASD) in 7 patients.


METHODS
Minor modifications were made to the system to provide drainage of the superior vena cava. The surgery was performed through a small (3.5-5cm) right anterolateral thoracotomy with 3D video and robotic arm assistance.


RESULTS
The operative procedures were completely uneventful and the patients were discharged four days postoperatively in good condition and with excellent cosmesis.


CONCLUSIONS
Using the modifications described, the Port-Access surgical method can be recommended for minimally invasive closure of an ASD.
Departments of Cardiac Surgery and Anesthesiology, University Hospital Grosshadern, Marchioninistr.15, D-81366 Munich, Germany. hcr@hch.uni-muenchen.de
H
H
Reichenspurner
D H
DH
Boehm
A
A
Welz
C
C
Schulze
B
B
Zwissler
B
B
Reichart
D000293:Adolescent; D000328:Adult; D021721:Balloon Occlusion / Q000379:methods*; D002315:Cardiopulmonary Bypass / Q000295:instrumentation / Q000379:methods*; D003131:Combined Modality Therapy; D005260:Female; D005500:Follow-Up Studies; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012371:Robotics; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D013906:Thoracoscopy / Q000379:methods*; D016896:Treatment Outcome