ArticleThe American journal of case reports2025
Atrial Septal Defect Patch Closure From the Left Atrial Side Approach in Totally Endoscopic Minimally Invasive Cardiac Surgery: A Case Report.
Article in The American journal of case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND Transcatheter atrial septal defect closure is currently the standard approach. In addition, minimally invasive cardiac surgery is preferable over median sternotomy. However, ensuring safe and reliable surgery is essential. The conventional right atrial approach is limited in its ability to ensure a clear surgical field and is associated with bleeding and postoperative arrhythmia. Herein, we describe atrial septal defect patch closure using a left atrial side approach in totally endoscopic minimally invasive cardiac surgery. CASE REPORT A 61-year-old man was admitted for heart failure caused by atrial fibrillation. Echocardiography revealed an atrial septal defect (27×17 mm; Qp/Qs ratio, 2.5). Given the relatively small aortic rim (1 mm), surgery after ablation of atrial fibrillation was selected. Complete pulmonary vein antrum isolation was performed using a catheter, followed by confirming sinus rhythm restoration. Two years later, the patient underwent atrial septal defect closure in a totally endoscopic minimally invasive cardiac surgery via the right axillary mini-thoracotomy under moderate hypothermia. The defect was accessed using a standard right-sided left atrial incision; brief circulatory arrest allowed secure suturing of the lower defect margin adjacent to the inferior vena cava, with minimal blood loss. The patient had an uneventful recovery. Postoperative echocardiography confirmed complete closure without residual shunting. CONCLUSIONS Compared with conventional right atriotomy, the left atrial side approach provided improved exposure, reduced bleeding, and easier air evacuation, potentially lowering the risk of long-term arrhythmias. This technique could offer a familiar and useful approach for enhancing the safety of atrial septal defect closures.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.