Atrial septal defect minimally invasive repair: Difference between revisions

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==Trial supportive data==
==Trial supportive data==
Studies done on 68 patients (39 CSA, 29 MIC) to compare the safety and efficacy of minimally invasive ASD closure compared to the conventional sternotomy approach (CSA) found no statistically difference in morbidity and mortality. However, a significant difference in postoperative length of stay was seen. Thus, MIC was found to be as effective as CSA with the advantage of decreased hospital stay.


==References==
==References==

Revision as of 06:07, 10 September 2011

Atrial Septal Defect Microchapters

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Patient Information

Overview

Anatomy

Classification

Ostium Secundum Atrial Septal Defect
Ostium Primum Atrial Septal Defect
Sinus Venosus Atrial Septal Defect
Coronary Sinus
Patent Foramen Ovale
Common or Single Atrium

Pathophysiology

Epidemiology and Demographics

Risk Factors

Natural History and Prognosis

Complications

Diagnosis

History and Symptoms

Physical Examination

Electrocardiogram

Chest X Ray

CT

MRI

Echocardiography

Transesophageal Echocardiography
Transthoracic Echocardiography
Contrast Echocardiography
M-Mode
Doppler

Transcranial Doppler Ultrasound

Cardiac Catheterization

Exercise Testing

ACC/AHA Guidelines for Evaluation of Unoperated Patients

Treatment

Medical Therapy

Surgery

Indications for Surgical Repair
Surgical Closure
Minimally Invasive Repair


Robotic ASD Repair
Percutaneous Closure
Post-Surgical Follow Up

Special Scenarios

Pregnancy
Diving and Decompression Sickness
Paradoxical Emboli
Pulmonary Hypertension
Eisenmenger's Syndrome
Atmospheric Pressure

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Case #1

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [2]; Cafer Zorkun, M.D., Ph.D. [3] Assistant Editor(s)-In-Chief: Kristin Feeney, B.S. [4]

Overview

Minimally invasive approach to atrial septal defect/Mini-thoracotomy

Steps in the surgery

  • Incision made through the right side of the chest.
  • Patient put on heart-lung bypass machine.
  • Tubes placed in the main artery and vein of the right leg
  • The heart stopped during operation.
  • Right atrium opened and atrial septal defect exposed
  • Defect repaired
  • Heart closed and restarted
  • Heart-lung bypass is discontinued

Advantages

  • Less invasive
  • Smaller hospital stay
  • Smaller recovery and faster healing of wound
  • No or minimal activity restrictions post-surgery
  • Lesser infections

Trial supportive data

Studies done on 68 patients (39 CSA, 29 MIC) to compare the safety and efficacy of minimally invasive ASD closure compared to the conventional sternotomy approach (CSA) found no statistically difference in morbidity and mortality. However, a significant difference in postoperative length of stay was seen. Thus, MIC was found to be as effective as CSA with the advantage of decreased hospital stay.

References

See also


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