 3D-Video- and Robot-Assisted Minimally Invasive ASD Closure using the Port-Access™ Techniques
(#1998-7165, August 28, 1998)
Hermann Reichenspurner, MD, PhD1, Dieter H. Boehm, MD, PhD1, Armin Welz, MD1, Costas Schulze, MD1, Bernhard Zwissler, MD2, Bruno Reichart, MD1
Departments of Cardiac Surgery1 and Anesthesiology2, University Hospital Grosshadern, D-81366 Munich, Germany
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.
AUTHOR/ARTICLE INFORMATION
Presented at: The Second World Congress of the International Society for Minimally Invasive Cardiac Surgery (ISMICS), Minneapolis, Minnesota, June, 1998.
Reprint requests to: Hermann Reichenspurner, MD, PhD, Department of Cardiac Surgery, University Hospital Munich-Grosshadern, Marchioninistr. 15, D-81377 Munich Germany, Phone: +49-89-7095-3455, Fax: +49-89-7095-3465, E-mail: hcr@hch.med.uni-muenchen.de
Submitted on: August 4, 1998
Keywords: atrial septal defect (ASD), endoaortic crossclamp, port access, minimally invasive, HeartPort, minithoracotomy
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