MINIMALLY INVASIVE ATRIAL SEPTAL DEFECT CLOSUREOURINITIALEXPERIENCEWITHTHEFIRSTHUNDREDCASES AT OUR CENTRE

Abstract

Background:- Atrial septal defect (ASD) is the most common acyanotic congenital heart defect detected in early adulthood or diagnosed incidentally in childhood. Most ASDs are known to close spontaneously. The standard surgical approach for ASD is a full midline sternotomy. With advances in minimally invasive cardiac surgery, we present this retrospective analysis of the first (n=100)
cases of MICS-ASD closure at our institute.
Methods and materials:- The first 100 (n=100) patients with ASD undergoing minimally invasive cardiac surgery by a single surgical unit were included. Venous cannulation was done to the Internal Jugular Vein (IJV) and Superior Venacava (SVC), while arterial cannulation was done to the femoral artery.
Results:-Of the (n=100) patients, 65%werefemale, with a normal BMI and a mean age of 36.22 +/- 12.44 years. None of the patients underwent re-exploration for bleeding and tachyarrhythmia or did any patients have low cardiac output syndrome (LCOS) requiring additional inotrope support.
Conclusion:- Minimally invasive ASD closure is a sound alternative to conventional sternotomy,
offering a better post-operative course for the patient.