ArticleSurgical endoscopy2025
Thoracoscopic closure of atrial septal defect in perfused beating hearts.
Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed.
- A comparative study of surgical repair of large atrial septal defects in adults using inferior mini-sternotomy and right axillary vertical mini-incision.Journal of cardiothoracic surgery · 2026Article
- Preferred age for beating-heart atrial septal defect repair via right subaxillary mini-incision in pediatric patients.Journal of cardiothoracic surgery · 2026Article
- Fatal air embolism caused by air entry into the cardiopulmonary bypass circuit during minimally invasive atrial septal defect repair: a case report.Frontiers in cardiovascular medicine · 2025Article
- An approach of total endoscopic atrial myxoma resection without robotic assistance.Frontiers in cardiovascular medicine · 2025Article
- Enhanced recovery in type A aortic dissection evaluating the efficacy and feasibility of early myocardial reperfusion.Frontiers in cardiovascular medicine · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
objectiveThis study aims to characterize the mid and long-term clinical outcomes of 856 atrial septal defect cases that underwent closure using MTCST without the assistance of a robotic system.
methodsFrom June 2009 to September 2023, a total of 856 cases at our center underwent selective repair of a secundum-type atrial septal defect using MTCST without Da Vinci robotic assistance. According to whether the operation was performed during an arrested heart or not, patients were divided into arrested heart group (n = 110) and beating heart group (n = 746). Cardiopulmonary bypass was established peripherally. Three-port incisions in the right chest were conducted first, followed by a pericardiotomy, superior and inferior vena cava snaring, atriotomy, and the closure of atrial septal defect under a thoracoscope. Patients were followed up from 3 months to 12 years postoperatively.
resultsThe exclusively MTCST for atrial septal defect closure was successfully performed without any in-hospital mortality in both groups. None of the procedures required an alternative technique for the closure. There were significant learning curves for cardiopulmonary bypass time and operation time. No residual shunt was observed in all patients during the follow-up transthoracic echocardiography at 5-day and 3-month timepoints postoperatively.
conclusionsThis study demonstrates that an exclusively MTCST for atrial septal defect repair is safe, simple, and minimally invasive. Exclusively MTCST is a new desirable alternative beside robotic-assisted atrial septal defect repair.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.