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Ann Thorac Surg 1996;62:638-639
© 1996 The Society of Thoracic Surgeons

Editorial

VATS ASD Closure: A Time Not Yet Come

Constantine Mavroudis, MD

Division of Cardiovascular-Thoracic Surgery, Department of Surgery, The Children's Memorial Hospital, Chicago, Illinois

The first 20% of the full text of this article appears below.

Minimally invasive video-assisted thoracic surgery (VATS) has quickly assumed an important therapeutic role in the treatment of thoracic diseases such as empyema thoracis, pulmonary emphysema, and lung cancer [1, 2]. Recent reports have documented extended application of VATS for closed congenital operations [3, 4] (ligation of patent ductus arteriosus and interruption of vascular rings), as well as open procedures including coronary artery bypass [5], mitral valve repair (A. Carpentier, personal communication, 1996), and atrial septal defect (ASD) closure [6, 7]. Presented in this issue are two reports by Dr Devi P. Shetty and associates [6] from the Medical University at Madras and Dr Chan-Hsing Chang and associates [7] from Chang Gung Medical Center, Taipei. Both groups report the use of various techniques of minimally invasive VATS in combination with femoral artery-femoral vein-internal jugular vein cardiopulmonary bypass to accomplish direct suture closure of a secundum ASD under fibrillatory arrest. Shetty and associates' patient (age not given) had ASD closure through two ports and was discharged on the twentieth postoperative day. Chang and colleagues' patients (n = 8) . . . [Full Text of this Article]


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