Reichenspurner H, Boehm D H, Welz A, Schulze C, Zwissler B, Reichart B
Departments of Cardiac Surgery and Anesthesiology, University Hospital Grosshadern, Marchioninistr.15, D-81366 Munich, Germany.
Heart Surg Forum. 1998;1(2):104-6.
Video-assisted minimally invasive surgical methods with endovascular-based femoral cardiopulmonary bypass (CPB) and balloon occlusion of the aorta (Port-Access technique) were used to close an ostium-secundum atrial septal defect (ASD) in 7 patients.
Minor modifications were made to the system to provide drainage of the superior vena cava. The surgery was performed through a small (3.5-5cm) right anterolateral thoracotomy with 3D video and robotic arm assistance.
The operative procedures were completely uneventful and the patients were discharged four days postoperatively in good condition and with excellent cosmesis.
Using the modifications described, the Port-Access surgical method can be recommended for minimally invasive closure of an ASD.
采用基于血管内股动脉体外循环（CPB）和主动脉球囊阻断（Port-Access技术）的电视辅助微创手术方法，为7例患者闭合继发孔型房间隔缺损（ASD）。
对该系统进行了微小改进，以实现上腔静脉引流。手术通过小切口（3.5 - 5厘米）右前外侧开胸，在3D视频和机械臂辅助下进行。
手术过程完全顺利，患者术后4天出院，情况良好，美容效果极佳。
采用所述改进方法，Port-Access手术方法可推荐用于ASD的微创闭合。
