%0 Journal Article
%T Minimally invasive repair of fenestrated atrial septal aneurysm
%A Naficy, Seph
%A Klemis, James E.
%A Gubin, Steven S.
%A Funderburg, William R.
%A Craig, John M.
%J Journal of Visualized Surgery
%D 2016
%B 2016
%9 
%! Minimally invasive repair of fenestrated atrial septal aneurysm
%K 
%X 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.
%U https://jovs.amegroups.org/article/view/9016
%V 2
%P 
%@ 2221-2965