@article{JOVS9016,
author = {Seph Naficy and James E. Klemis and Steven S. Gubin and William R. Funderburg and John M. Craig},
title = {Minimally invasive repair of fenestrated atrial septal aneurysm},
journal = {Journal of Visualized Surgery},
volume = {2},
number = {1},
year = {2016},
keywords = {},
abstract = {Background: Atrial septal aneurysms (ASAs) are uncommon but are associated with significant embolic morbidity when an interatrial communication is present. Although surgical reconstruction has traditionally been approached through a median sternotomy, minimally invasive techniques may be employed to reduce pain and recovery time.
Methods: We present a video-assisted technique via right inframammary minithoracotomy utilizing peripheral cannulation for cardiopulmonary bypass. Included is a discussion of surgical tips, potential pitfalls and a description of unique technical aspects that differentiate atrial septal repair from other minimally invasive cardiac operations.
Results: A complete repair of the defect was confirmed by intraoperative transesophageal echocardiography (TEE). The patient made an uncomplicated recovery and was discharged home within 48 hours of surgery.
Conclusions: Minimally invasive repair of an ASA utilizing peripheral cannulation for cardiopulmonary bypass and a right inframammary incision can be accomplished with satisfactory technical success and recovery time.},
issn = {2221-2965}, url = {https://jovs.amegroups.org/article/view/9016}
}