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Related Experiment Video

Updated: May 2, 2026

Reduction of Iatrogenic Atrial Septal Defects with an Anterior and Inferior Transseptal Puncture Site when Operating the Cryoballoon Ablation Catheter

Reduction of Iatrogenic Atrial Septal Defects with an Anterior and Inferior Transseptal Puncture Site when Operating the Cryoballoon Ablation Catheter

Published on: June 15, 2015

Minimally invasive atrial septal defect closure.

Pieter C van de Woestijne¹, Frans B S Oei, Ad J J C Bogers

¹Department of Cardiothoracic Surgery, Erasmus University Medical Center, Rotterdam, Netherlands.

Multimedia Manual of Cardiothoracic Surgery : MMCTS

|March 13, 2014

Summary

This study presents a video-assisted surgical approach for closing atrial septal defects (ASDs) using femoral cannulation and a small thoracotomy. This minimally invasive technique facilitates concurrent tricuspid valve surgery when needed.

Keywords:

Atrial septal defect Minimally invasive surgery Surgical closure

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Area of Science:

Cardiology
Thoracic Surgery
Minimally Invasive Surgery

Background:

Atrial septal defect (ASD) is a common congenital heart defect requiring intervention.
While percutaneous closure is prevalent, surgical repair remains necessary for certain defects.
Minimally invasive surgical techniques are evolving for ASD closure.

Purpose of the Study:

To describe and illustrate a video-assisted surgical approach for ASD closure.
To highlight the feasibility of performing concomitant tricuspid valve surgery with this method.

Main Methods:

Video-assisted thoracoscopic surgery (VATS) approach.
Femoral arterial and venous cannulation for cardiopulmonary bypass.
Small thoracotomy incision for instrument and device placement.
Surgical closure of the atrial septal defect.

Main Results:

Successful closure of atrial septal defects using the described video-assisted technique.
Demonstrated ease of performing additional tricuspid valve operations concurrently.
Minimally invasive approach potentially offers advantages over traditional sternotomy.

Conclusions:

Video-assisted closure of ASD with femoral cannulation and small thoracotomy is a viable surgical option.
This technique allows for efficient combined procedures, including tricuspid valve repair or replacement.
Further evaluation of this minimally invasive approach in larger patient cohorts is warranted.