{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,23]],"date-time":"2026-08-23T16:33:31Z","timestamp":1787502811742,"version":"build-2736575974"},"reference-count":25,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2014,10,1]],"date-time":"2014-10-01T00:00:00Z","timestamp":1412121600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["World J Pediatr Congenit Heart Surg"],"published-print":{"date-parts":[[2014,10]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To compare the safety and effectiveness of video-assisted thoracic surgery (VATS) versus conventional median sternotomy (open) in the repair of secundum atrial septal defect (ASD) or patent foramen ovale (PFO).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Among 415 consecutive patients undergoing open or VATS ASD\/PFO closure between 1993 and October 2012, 153 patients were compared using 2:1 frequency matching (n = 102 open vs 51 VATS). Matching variables include age, gender, body surface area, past medical history of neurologic events, and need of patch closure. Median age was 43 years (3-71 years), and 67% were female.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>There were no early deaths in either group. There were no conversions to open sternotomy. Although mean cross-clamp time (14.5 \u00b1 7.6 vs 26.3 \u00b1 13.2 minutes, P &lt; .001) and bypass time (31.7 \u00b1 13.8 vs 60.9 \u00b1 20.9 minutes, P &lt; .001) were longer in the VATS group, patients who underwent VATS had shorter postoperative ventilation time (7.5 \u00b1 6.4 vs 4.4 \u00b1 2.8 hours, P = .03) with 62.7% extubated in the operating room, along with shorter intensive care unit stay (26.7 \u00b1 10.8 vs 19.1 \u00b1 9.9 hours, P &lt; .001) and hospital stay (5.2 \u00b1 1.9 vs 3.5 \u00b1 0.9 days, P &lt; .001). At early follow-up (mean 1.5 years, maximum 4.2 years), there was no difference in need for reintervention. Of the 27 patients who underwent VATS ASD\/PFO closure for a neurologic event, none had a recurrence.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>The use of VATS provides a safe, equally effective alternative to conventional sternotomy for ASD\/PFO closure, using a less invasive approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2150135114542166","type":"journal-article","created":{"date-parts":[[2014,10,16]],"date-time":"2014-10-16T14:20:44Z","timestamp":1413469244000},"page":"527-533","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":10,"title":["Minimally Invasive Video-Assisted Surgical Closure of Atrial Septal Defects"],"prefix":"10.1177","volume":"5","author":[{"given":"Anna","family":"Sabate Rotes","sequence":"first","affiliation":[{"name":"Division of Cardiovascular Surgery, Mayo Clinic, Rochester, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harold M.","family":"Burkhart","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Mayo Clinic, Rochester, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rakesh M.","family":"Suri","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Surgery, Mayo Clinic, Rochester, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martha","family":"Grogan","sequence":"additional","affiliation":[{"name":"Division of Cardiovascular Disease, Mayo Clinic, Rochester, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nathaniel W.","family":"Taggart","sequence":"additional","affiliation":[{"name":"Division of Pediatric Cardiology, Mayo Clinic, Rochester, MN, 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