title: Totally robotic repair of atrioventricular septal defect in the adult.
abstract: BACKGROUND
  Atrioventricular septal defect (AVSD) accounts for up to 3 % of congenital cardiac defects, which is routinely repaired via median sternotomy. Minimally invasive approach such as endoscopic or robotic assisted repair for AVSD has not been reported in the literature. With the experience with robotic mitral valve surgery and congenital defect repair, we initiated robotic AVSD repair in adults.
  
  
  METHODS
  In this report, we presented three cases of successful repair of partial and intermediate AVSD by using da Vinci SI surgical system (Intuitive Surgical, Inc., Sunnyvale, CA).
  
  
  CONCLUSIONS
  Totally robotic AVSD repair via right atriotomy could be safely performed in adults and it may provide superior cosmesis with the comparable surgical outcome of the repair via sternotomy.
authors.affiliation: Department of Cardiovascular Surgery, Institute of Cardiac Surgery, PLA General Hospital, 28 Fuxing Road, Beijing, 100853, China. gaochq301@yahoo.com.
authors.forename: Changqing
authors.initials: C
authors.lastname: Gao
authors.affiliation: Department of Cardiovascular Surgery, Institute of Cardiac Surgery, PLA General Hospital, 28 Fuxing Road, Beijing, 100853, China. yangming301@163.com.
authors.forename: Ming
authors.initials: M
authors.lastname: Yang
authors.affiliation: Department of Cardiovascular Surgery, Institute of Cardiac Surgery, PLA General Hospital, 28 Fuxing Road, Beijing, 100853, China. xcs301@tom.com.
authors.forename: Cangsong
authors.initials: C
authors.lastname: Xiao
authors.affiliation: Department of Cardiovascular Surgery, Institute of Cardiac Surgery, PLA General Hospital, 28 Fuxing Road, Beijing, 100853, China. huajun.zhang@yahoo.co.uk.
authors.forename: Huajun
authors.initials: H
authors.lastname: Zhang
mesh_terms: D000328:Adult; D006348:Cardiac Surgical Procedures; D005260:Female; D006330:Heart Defects, Congenital / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D006343:Heart Septal Defects / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures; D012371:Robotics; D056346:Sternotomy; D014463:Ultrasonography; D055815:Young Adult