Minimal-Access Atrial Septal Defect (ASD) Closure

Progress towards the development and adoption of minimally invasive techniques in cardiac surgery has been slower than that seen in other surgical specialties. Congenital heart disease (CHD) patients represent an important population within cardiac disease, of which atrial septal defect (ASD) is one...

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Main Authors: Gillian Hardman, Joseph Zacharias
Format: Article
Language:English
Published: MDPI AG 2023-05-01
Series:Journal of Cardiovascular Development and Disease
Subjects:
Online Access:https://www.mdpi.com/2308-3425/10/5/206
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author Gillian Hardman
Joseph Zacharias
author_facet Gillian Hardman
Joseph Zacharias
author_sort Gillian Hardman
collection DOAJ
description Progress towards the development and adoption of minimally invasive techniques in cardiac surgery has been slower than that seen in other surgical specialties. Congenital heart disease (CHD) patients represent an important population within cardiac disease, of which atrial septal defect (ASD) is one of the most common diagnoses. Management of ASD encompasses a range of minimal-access and minimally invasive approaches, including transcatheter device closure, mini-sternotomy, thoracotomy, video-assisted, endoscopic, and robotic approaches. In this article, we will discuss the pathophysiology of ASD, along with diagnosis, management, and indications for intervention. We will review the current evidence supporting minimally invasive and minimal-access surgical ASD closure in the adult and paediatric patient, highlighting peri-operative considerations and areas for further research.
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spelling doaj.art-8b6e3e9e3369430ea8ebef0ff65adeae2023-11-18T01:51:07ZengMDPI AGJournal of Cardiovascular Development and Disease2308-34252023-05-0110520610.3390/jcdd10050206Minimal-Access Atrial Septal Defect (ASD) ClosureGillian Hardman0Joseph Zacharias1Department of Cardiothoracic Surgery, Blackpool Victoria Hospital, Blackpool FY3 8NR, UKDepartment of Cardiothoracic Surgery, Blackpool Victoria Hospital, Blackpool FY3 8NR, UKProgress towards the development and adoption of minimally invasive techniques in cardiac surgery has been slower than that seen in other surgical specialties. Congenital heart disease (CHD) patients represent an important population within cardiac disease, of which atrial septal defect (ASD) is one of the most common diagnoses. Management of ASD encompasses a range of minimal-access and minimally invasive approaches, including transcatheter device closure, mini-sternotomy, thoracotomy, video-assisted, endoscopic, and robotic approaches. In this article, we will discuss the pathophysiology of ASD, along with diagnosis, management, and indications for intervention. We will review the current evidence supporting minimally invasive and minimal-access surgical ASD closure in the adult and paediatric patient, highlighting peri-operative considerations and areas for further research.https://www.mdpi.com/2308-3425/10/5/206minimal accessminimally invasivecardiac surgeryatrial septal defect (ASD)congenital heart disease (CHD)adult congenital heart disease (ACHD)
spellingShingle Gillian Hardman
Joseph Zacharias
Minimal-Access Atrial Septal Defect (ASD) Closure
Journal of Cardiovascular Development and Disease
minimal access
minimally invasive
cardiac surgery
atrial septal defect (ASD)
congenital heart disease (CHD)
adult congenital heart disease (ACHD)
title Minimal-Access Atrial Septal Defect (ASD) Closure
title_full Minimal-Access Atrial Septal Defect (ASD) Closure
title_fullStr Minimal-Access Atrial Septal Defect (ASD) Closure
title_full_unstemmed Minimal-Access Atrial Septal Defect (ASD) Closure
title_short Minimal-Access Atrial Septal Defect (ASD) Closure
title_sort minimal access atrial septal defect asd closure
topic minimal access
minimally invasive
cardiac surgery
atrial septal defect (ASD)
congenital heart disease (CHD)
adult congenital heart disease (ACHD)
url https://www.mdpi.com/2308-3425/10/5/206
work_keys_str_mv AT gillianhardman minimalaccessatrialseptaldefectasdclosure
AT josephzacharias minimalaccessatrialseptaldefectasdclosure