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Transareolar Video-Assisted Approach to the Atrial Septal Defect and Tricuspid Valve. 2017
Tadashi Kitamura, and
Shinzo Torii, and
Tetsuya Horai, and
Koichi Sughimoto, and
Kensuke Kobayashi, and
Yusuke Irisawa, and
Hidenori Hayashi, and
Takuya Matsushiro, and
Yurie Miyata, and
Yuta Tsuchida, and
Kagami Miyaji
From the Department of Cardiovascular Surgery, Kitasato University School of Medicine, Sagamihara, Japan.
Minimally invasive atrial septal defect closure and tricuspid annuloplasty in female patients are normally performed through a right submammary anterior minithoracotomy approach. However, when the aortic root is located higher, the direction of aortic cannulation becomes not ideal through the submammary incision. In such cases, transareolar approach is useful. Through this approach, aortic cannulation and tricuspid operation can be performed with endoscopic assistance, and ASD closure can be performed under direct vision.
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