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Review
. 2018 Sep;10(Suppl 24):S2931-S2939.
doi: 10.21037/jtd.2018.07.116.

Surgical closure of atrial septal defects

Matthew Liava'a  1 , David Kalfa  1
Affiliations
Review

Surgical closure of atrial septal defects

Matthew Liava'a et al. J Thorac Dis. 2018 Sep.

Abstract

Surgical repair of an atrial septal defect (ASD) is a safe and effective operation with little to no morbidity and mortality. In an effort to reduce the trauma of surgery, current approaches focus on less invasive surgical techniques, rather than the intracardiac repair. We will describe the different types of ASD, techniques for repair, and options for minimally invasive repair.

Keywords: Atrial septal defect (ASD); direct closure; ostium secundum; patch repair; sinus venosus.

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Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Types of ASD. ASD, atrial septal defect.
Figure 2
Figure 2
Secundum ASD. ASD, atrial septal defect.
Figure 3
Figure 3
Patch closure of secundum ASD. ASD, atrial septal defect.
Figure 4
Figure 4
Warden technique for sinus venosus defect. (A) Division of SVC above anomalous pulmonary venous entry. (B) Patch closure of SVC above pulmonary vein entrance, opening in right atrial appendage and excision of pectinate muscle bundles. (C) Patch/baffle closure of ASD, connecting SVC with attached anomalous pulmonary venous drainage to the left atrium. (D) Right atrial appendage to SVC anastomosis and direct closure of atriotomy. ASD, atrial septal defect; SVC, superior vena cava.
Figure 5
Figure 5
Median sternotomy.
Figure 6
Figure 6
Partial sternotomy.
Figure 7
Figure 7
Right anterior thoracotomy and femoral incision.
Figure 8
Figure 8
Vertical axillary incision.
Figure 9
Figure 9
VATS incisions. VATS, video-assisted thoracoscopic surgery.
Figure 10
Figure 10
Robotic approach.
See this image and copyright information in PMC

References

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