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  • Title: 3D-video- and robot-assisted minimally invasive ASD closure using the Port-Access techniques.
    Author: Reichenspurner H, Boehm DH, Welz A, Schulze C, Zwissler B, Reichart B.
    Journal: Heart Surg Forum; 1998; 1(2):104-6. PubMed ID: 11276447.
    Abstract:
    BACKGROUND: Video-assisted minimally invasive surgical methods with endovascular-based femoral cardiopulmonary bypass (CPB) and balloon occlusion of the aorta (Port-Access technique) were used to close an ostium-secundum atrial septal defect (ASD) in 7 patients. METHODS: Minor modifications were made to the system to provide drainage of the superior vena cava. The surgery was performed through a small (3.5-5cm) right anterolateral thoracotomy with 3D video and robotic arm assistance. RESULTS: The operative procedures were completely uneventful and the patients were discharged four days postoperatively in good condition and with excellent cosmesis. CONCLUSION: Using the modifications described, the Port-Access surgical method can be recommended for minimally invasive closure of an ASD.
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