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Totally Endoscopic ASD Closure Without a Utility Port
Sardar S. Totally Endoscopic ASD Closure Without a Utility Port. December 2025. doi:10.25373/ctsnet.30763898
This video is one of the top 10 entries from the 2025 Endoscopic Cardiac Surgeons Club Video Competition. More videos featuring these outstanding presentations will be showcased in the coming weeks.
This is the case of a 34-year-old female who presented with shortness of breath and palpitations, and was found to have an ostium secundum atrial septal defect (ASD) with a left-to-right shunt. A totally endoscopic approach using four ports and no minithoracotomy was performed. A cutdown for femoral cannulation was performed. After exposing the heart, the superior vena cava (SVC) and inferior vena cava (IVC) were encircled. The cardioplegia cannula exited through a port. The heart was cross-clamped, and the heart was arrested with antegrade cardioplegia. The vena cava were ensnared. The right atrium was opened, and a bovine patch was placed to repair the ASD and the right atrium was closed. The patient was discharged on postoperative day three.
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