›› 2011, Vol. 31 ›› Issue (3): 343-.doi: 10.3969/j.issn.1674-8115.2011.03.022

• Original article (Clinical research) • Previous Articles     Next Articles

Occlusion of atrial septal defect utilizing occluder devise via minimally invasive right chest |approach

LI Feng1, LI Wei1, KANG Ning1, GONG Bao-sheng1, WU Dong-jin1, XU Fang-jie1, QIU Zhao-kun1, WU Wei-hua2   

  1. 1.Department of Cardiovascular Surgery, 2.Department of Echocardiography, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai 200030, China
  • Online:2011-03-28 Published:2011-03-29


Objective To evaluate atrial septal defect (ASD) occlusion employing a small right anterior thoracotomy approach. Methods A total of 21 patients with ASD underwent general anesthesia and 2-3 cm incision was made in the fourth right intercostal space. Utilizing transesophageal or transthoracic echocardiography, the occluder was released using a monotube unit. Results All patients were occluded successfully. No patient required open surgery utilizing extracorporeal circulation. There were no major complications and no evidence of residual atrial shunt. Conclusion ASD occlusion via a  minimal surgical incision is safe, less invasive, and has excellent outcomes.

Key words: minimally invasive, atrial septal defect, occluder device