ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Liang, T.
Right arrow Articles by Leng, C. Y.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Liang, T.
Right arrow Articles by Leng, C. Y.
Related Collections
Right arrow Congenital - acyanotic

Ann Thorac Surg 2006;81:1417-1419
© 2006 The Society of Thoracic Surgeons

Original article: Cardiovascular

New Minimally Invasive Technique to Occlude Secundum Atrial Septal Defect in 53 Patients

Tao Liang, MDa, Zeng XiangJun, MDa,*, Ma XiaoJing, MDb, Lin Yun, MDb, Chua Yeow Leng, MDc

a Cardiac Surgical Department, Wuhan Asia Heart Hospital, WuHan, China
b Ultrasonic Department, Wuhan Asia Heart Hospital, WuHan, China
c Cardiac Surgical Department, Singapore National Heart Center, Singapore

Accepted for publication September 30, 2005.

* Address correspondence to Dr XiangJun, Tao Liang Cardiac Surgical Department, Wuhan Asia Heart Hospital, WuHan 430022, China (Email: zengxiangjun{at}sohu.com).

Background: Conventional surgical atrial septal defect (ASD) closure requires cardiopulmonary bypass, whereas percutaneous transcatheter closure is limited by maximal defect size of 34 mm and access to the neck. We describe a new minimally invasive approach using a right minithoracotomy to deploy an occluder without cardiopulmonary bypass.

Methods: Between October 2004 and April 2005, 53 secundum ASDs were closed by this method. Through a 3-cm incision in the right fourth intercostal space, a minithoracotomy exposes the right atrium to facilitate deployment of the septal closure device. The age of the patients was from 2 to 61 years. The ASD size was 12 to 39 mm.

Results: All ASDs were successfully closed with a mean device size of 33.1 ± 8 mm (range, 16 to 46 mm). The procedure duration was 30 to 60 minutes. All patients were extubated on table, with less than a 1-day stay in the intensive care unit. The hospital stay was 3 to 7 days. There was no postoperative mortality. At mean follow-up of 1 to 8 months, there were no major morbidities. One patient had minimal residual shunt that resolved 1 month later.

Conclusions: This new minimally invasive method of secundum ASD closure is safe and cosmetically superior to conventional surgery. Early results are encouraging.




This article has been cited by other articles:


Home page
 Eur J Cardiothorac SurgHome page
D. Zhu, W. Meng,, M. Liang, K. Tao, Y. Shi, Q. An, B. Liu, and K. Lin
Intra-operative device closure of multiple atrial septal defects facilitated by a unique atrial septum remodeling technique: initial results and experience in 11 patients
Eur J Cardiothorac Surg, February 1, 2012; 41(2): 266 - 271.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
Q. Chen, H. Cao, G.-C. Zhang, L.-W. Chen, and D.-Z. Chen
Safety and feasibility of intra-operative device closure of atrial septal defect with transthoracic minimal invasion
Eur J Cardiothorac Surg, January 1, 2012; 41(1): 121 - 125.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
Q. Chen, L.-W. Chen, H. Cao, G.-C. Zhang, D.-Z. Chen, and H. Zhang
Intraoperative device closure of atrial septal defects with inferior vena cava rim deficiency: A safe alternative to surgical repair
J. Thorac. Cardiovasc. Surg., March 1, 2011; 141(3): 631 - 636.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
X.-H. Hao, F.-J. Huang, S.-Y. Wang, C. Zhang, Z.-G. Zhang, and Y.-Q. Lai
Off-Pump Coronary Artery Bypass Grafting With Device Closure of Atrial Septal Defect
Ann. Thorac. Surg., November 1, 2010; 90(5): 1727 - 1729.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
Q. Chen, L.-W. Chen, H. Cao, G.-C. Zhang, D.-Z. Chen, and H. Zhang
Intraoperative Device Closure of Atrial Septal Defect in Infants
Ann. Thorac. Surg., April 1, 2010; 89(4): 1250 - 1254.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
L. Hongxin, S. Lijun, Z.-j. Wang, J. Zi, W.-l. Zhang, H.-z. Zhang, G. Wenbin, and C.-w. Zou
Intraoperative device closure of large secundum atrial septal defects; a safe alternative to transcatheter closure
Eur J Cardiothorac Surg, June 1, 2008; 33(6): 1055 - 1060.
[Abstract] [Full Text] [PDF]

Home page
 J. Thorac. Cardiovasc. Surg.Home page
L. Hongxin, G. Wenbin, S. Lijun, W. Zhengjun, L. Hao, Z. Chengwei, D. Liang, and Y. Guidao
Intraoperative device closure of secundum atrial septal defect with a right anterior minithoracotomy in 100 patients.
J. Thorac. Cardiovasc. Surg., October 1, 2007; 134(4): 946 - 951.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
M. D. Dixit, K. K. Pradeep, M. Gan, and A. Dayal
Problems in Per-Operative Secundum Atrial Septal Defect Device Closure: Our Experience
Ann. Thorac. Surg., April 1, 2007; 83(4): 1580 - 1580.
[Full Text] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 2006 by The Society of Thoracic Surgeons.