Totally endoscopic atrial septal defect repair using transthoracic aortic cannulation in a 10.5-kg-boy.

ABSTRACT:

Introduction

Although totally endoscopic surgery (TES) has been widely applied for the treatment of atrial septal defect (ASD), small children receive few benefits from this technique due to risks of the femoral cannulation.

Case presentation

A 23-month-old boy, weighing 10.5 kg, with the diagnosis of sinus venosus ASD underwent successful repair by TES. We performed this surgery through 4 small trocars (one 12 mm trocar and three 5 mm trocars), without robotic assistance. In this case, we inserted the arterial cannula directly into the ascending aorta instead of the femoral artery (FA). The defects were repaired on the beating heart with CO₂ insufflation.

Discussion

Femoral cannulation in small children pose some risks, such as increased arterial line pres

SUBMITTER: Dang HQ 

PROVIDER: S-EPMC6197332 | biostudies-literature | 2018

REPOSITORIES: biostudies-literature