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Totally Endoscopic ASD Repair Using Rigid Port: A Case Study and Meta-Analysis

This document presents a case of totally endoscopic atrial septal defect (ASD) repair in a 24-year-old female patient with a 22 mm secundum ASD and nickel allergy, which precluded device closure. The procedure utilized a da Vinci robotic system for ASD patch closure with a Gore-Tex patch. A comprehensive meta-analysis of totally endoscopic ASD repair (TE-ASDR) methodologies and outcomes is included, highlighting advantages such as minimal invasive access and expedited recovery times, with a focus on improved post-operative results and shorter hospital stays.

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Totally Endoscopic ASD Repair Using Rigid Port: A Case Study and Meta-Analysis

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  1. Robotic ASD repair with rigid port 2008. KTCS meeting Hyung Gon Je, Jae Won Lee, Sung Ho Jung Suk Jung Choo, Hyun Song, Cheol Hyun Chung Asan Medical Center, Ulsan University, School of Medicine

  2. Totally endoscopic ASD repair

  3. Totally endoscopic ?

  4. Case: F/24 • Sx; resting chest pain, DOE Fc I • Echo; • Normal LV, NSR, no MR, TR +1 • Secundum ASD 22 mm size with thin aortic rim, L->R shunt • Device closure was planned but nickel allergy -> op. • da Vinci ASD patch closure with rigid port assist • ASD patch closure with Gore-Tex 0.5mm patch • ACC with Chitwood clamp • Antegrade cardioplegic infusion via root cannula

  5. Port positioning

  6. Coordination

  7. Totally Endoscopic ASD repair

  8. Meta-analysis of TE-ASDR • Bonaros N, Bonatti J. - Innsbruck; 5 • Argenziano M, Smith CR. – NY, Columbia; 5 • Alfieri O. - Milan; 3 • Moritz A, Dogan S - Frankfurt; 3 • Sporadic case reports; 6

  9. Meta-analysis of TE-ASD repair

  10. Results • Op / CPB / ACC time; 320 / 228 / 109 min • Ventilation; 5hr, ICU stay ; 22hr • Hospital stay; 3 day • Post op Echo; no residual shunt • Return to work place within 1wks; CPA

  11. Summary

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