Atrial septal defect minimally invasive repair
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Atrial Septal Defect Microchapters | |
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Treatment | |
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Surgery | |
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Atrial septal defect minimally invasive repair On the Web | |
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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 conventional sternotomy, 29 minimally invasive ASD closure) 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, minimally invasive ASD closure (MIC) was found to be as effective as conventional sternotomy approach (CSA) with the advantage of decreased hospital stay [1].