{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T10:40:41Z","timestamp":1741603241893,"version":"3.38.0"},"reference-count":0,"publisher":"European Association of Cardiothoracic Surgery (EACTS Publishing Ltd)","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["MMCTS"],"published-print":{"date-parts":[[2025,3,10]]},"abstract":"<jats:p>There are no prior reports of totally endoscopic minimally invasive cardiac surgery for combined ventricular septal defect closure and aortic valve replacement. We utilized a periareolar incision as the main access, inserting a cardioplegia line, vent tube and the aortic cross-clamp entirely through this incision. Only three ports (main incision, camera port and left-hand port) were used. A three-dimensional endoscope facilitated precise techniques. The type I ventricular septal defect was approached and closed from the aortic side using a Gore-Tex patch, with mattress sutures for the lower edge and shared sutures with the aortic valve replacement for the upper edge. A stented bioprosthetic valve was sewn in a supra-annular position. The patient recovered rapidly, with excellent cosmetic results and minimal invasiveness.<\/jats:p>","DOI":"10.1510\/mmcts.2025.012","type":"journal-article","created":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T10:02:11Z","timestamp":1741600931000},"source":"Crossref","is-referenced-by-count":0,"title":["Totally 3-dimensional endoscopic ventricular septal defect closure and aortic valve replacement via a periareolar incision"],"prefix":"10.1510","member":"10966","published-online":{"date-parts":[[2025,3,10]]},"container-title":["Multimedia Manual of Cardio-Thoracic Surgery"],"original-title":[],"deposited":{"date-parts":[[2025,3,10]],"date-time":"2025-03-10T10:02:12Z","timestamp":1741600932000},"score":1,"resource":{"primary":{"URL":"https:\/\/mmcts.org\/case-report\/1998"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,3,10]]},"references-count":0,"URL":"https:\/\/doi.org\/10.1510\/mmcts.2025.012","relation":{},"ISSN":["1813-9175"],"issn-type":[{"value":"1813-9175","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,3,10]]}}}