A Case of Coronary Sinus Type Atrial Septal Defect Treated by 3-Port Totally Endoscopic Surgery

Mamoru Orii＊	Toshiaki Ito＊	Atsuo Maekawa＊
Sadanari Sawaki＊	Jyunji Yanagisawa＊	Masayoshi Tokoro＊
Takahiro Ozeki＊	Toshiyuki Saiga＊

（Department of Cardiovascular Surgery, Japanese Red Cross Nagoya First Hospital＊, Nagoya, Japan）

A 15-year-old boy with coronary sinus type atrial septal defect（CS-ASD）was surgically treated with 3-port totally endoscopic technique. The patient was set in a left semi-lateral position. A 3cm skin incision retracted by a small wound protector, a trocar for the endoscope, and a trocar for left-handed instruments were placed in the right antero-lateral chest. Cardio-pulmonary bypass was established via groin cannulation. After cardioplegic arrest, the CS-ASD was favorably exposed through the left atriotomy, and closed using a bovine pericardial patch. The total operation time was 112 min. The post-operative course was uneventful. Instead of the traditional median sternotomy and right atriotomy, small right thoracotomy and left atriotomy may be a promising alternative for closure of CS-ASD.

 

Jpn. J. Cardiovasc. Surg. 48:39-42（2019）

Keywords：coronary sinus atrial septal defect;minimally invasive cardiac surgery;thoracoscope;endoscope;unroofed coronary sinus