{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:04:45Z","timestamp":1753877085323,"version":"3.41.2"},"reference-count":13,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T00:00:00Z","timestamp":1727740800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,10,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>\u2002<\/jats:title>\n                  <jats:p>Minimally invasive surgical closure of atrial septal defects is gaining widespread acceptance and can be performed via a right midaxillary thoracotomy. In addition, the procedure can be performed in ischaemic cardiac arrest or fibrillation with a core body temperature between 34\u00b0C and 36\u00b0C.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>We present our single-centre results of paediatric patients who underwent surgical atrial septal defect II closure via lateral thoracotomy.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>Retrospective analysis. Patients were divided into a cardiac arrest group and a cardiac fibrillation group. All procedures were performed via right midaxillary thoracotomy through a single incision without side ports.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>All 37 consecutive patients between March 2019 and August 2022 (median age 3\u2009years; percentile 25th: 2; 75th: 5\u2009years) in both groups were free of mortality and postoperative morbidity such as haemodynamically relevant residual shunt or malignant arrhythmias. Cardiopulmonary bypass time was significantly shorter in the fibrillation group (mean: 34.7\u2009min vs 52.6\u2009min, P = 0.01), and all patients were weaned off the ventilator immediately postoperatively. Length of the intensive care unit stay was not different between the 2 groups. Postoperative hospital stay was significantly longer in patients with cardiac arrest (mean: 5.6\u2009days vs 4.9\u2009days, P = 0.04). Postoperative laboratory parameters did not differ between the 2 groups. All patients were discharged with normal left ventricular function and normalized cardiac enzymes.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Minimally invasive closure of an atrial septal defect during atrial fibrillation is a safe procedure with results comparable to those of an induced cardiac arrest procedure.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivae128","type":"journal-article","created":{"date-parts":[[2024,10,1]],"date-time":"2024-10-01T16:06:30Z","timestamp":1727798790000},"source":"Crossref","is-referenced-by-count":0,"title":["Lateral atrial septal defect closure with induced ventricular fibrillation versus cardioplegic arrest"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9472-1663","authenticated-orcid":false,"given":"Henning","family":"Carstens","sequence":"first","affiliation":[{"name":"Department of Congenital and Pediatric Heart Surgery, Children\u2019s Heart Clinic, University Heart & Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf , Hamburg,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1895-8570","authenticated-orcid":false,"given":"Daniel","family":"Biermann","sequence":"additional","affiliation":[{"name":"Department of Congenital and Pediatric Heart Surgery, Children\u2019s Heart Clinic, University Heart & Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf , Hamburg,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00f6rg","family":"Sachweh","sequence":"additional","affiliation":[{"name":"Department of Congenital and Pediatric Heart Surgery, Children\u2019s Heart Clinic, University Heart & Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf , Hamburg,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Munz","sequence":"additional","affiliation":[{"name":"Department of Congenital and Pediatric Heart Surgery, Children\u2019s Heart Clinic, University Heart & Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf , Hamburg,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ida","family":"H\u00fcners","sequence":"additional","affiliation":[{"name":"Department of Congenital and Pediatric Heart Surgery, Children\u2019s Heart Clinic, University Heart & Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf , Hamburg,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rainer","family":"Kozlik-Feldmann","sequence":"additional","affiliation":[{"name":"Department of Pediatric Cardiology, Children\u2019s Heart Clinic, University Heart & Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf , Hamburg,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"H\u00fcbler","sequence":"additional","affiliation":[{"name":"Department of Congenital and Pediatric Heart Surgery, Children\u2019s Heart Clinic, University Heart & Vascular Center Hamburg, University Medical Center Hamburg-Eppendorf , Hamburg,","place":["Germany"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,10,1]]},"reference":[{"key":"2024101823001509100_ivae128-B1","doi-asserted-by":"crossref","first-page":"1890","DOI":"10.1016\/S0735-1097(02)01886-7","article-title":"The incidence of congenital heart disease","volume":"39","author":"Hoffman","year":"2002","journal-title":"J Am Coll Cardiol"},{"key":"2024101823001509100_ivae128-B2","doi-asserted-by":"crossref","first-page":"377","DOI":"10.4244\/EIJV7I3A63","article-title":"Percutaneous versus surgical closure of secundum atrial septal 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