Minimally invasive surgical closure of atrial septal defects via a right anterior thoracotomy
E K Sim1, J J Goh, R T Grignani
1Cardiac Department, National University Hospital, Singapore.
Background:
Surgical closure of the atrial septal defect (ASD) is a low-risk operation with little post-operative morbidity involved. The standard approach to ASD closure is via a median sternotomy. However the post-operative midline scar is cosmetically undesirable.
Patients:
We report our experience with four female patients who have undergone closure of ASD through a right anterior thoracotomy and a left groin incision for femoral cannulation.
Results:
Post-operative recovery was uneventful. The cosmetic results of their operations were good.
Conclusion:
Closure of ASD via a right anterior approach is a safe method and should preferably be used in young female patients, as better cosmetic results are expected.
