{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T18:34:14Z","timestamp":1791916454706,"version":"4.3.4"},"reference-count":71,"publisher":"MDPI AG","issue":"5","license":[{"start":{"date-parts":[[2023,5,10]],"date-time":"2023-05-10T00:00:00Z","timestamp":1683676800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCDD"],"abstract":"<jats:p>Progress towards the development and adoption of minimally invasive techniques in cardiac surgery has been slower than that seen in other surgical specialties. Congenital heart disease (CHD) patients represent an important population within cardiac disease, of which atrial septal defect (ASD) is one of the most common diagnoses. Management of ASD encompasses a range of minimal-access and minimally invasive approaches, including transcatheter device closure, mini-sternotomy, thoracotomy, video-assisted, endoscopic, and robotic approaches. In this article, we will discuss the pathophysiology of ASD, along with diagnosis, management, and indications for intervention. We will review the current evidence supporting minimally invasive and minimal-access surgical ASD closure in the adult and paediatric patient, highlighting peri-operative considerations and areas for further research.<\/jats:p>","DOI":"10.3390\/jcdd10050206","type":"journal-article","created":{"date-parts":[[2023,5,10]],"date-time":"2023-05-10T03:49:06Z","timestamp":1683690546000},"page":"206","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Minimal-Access Atrial Septal Defect (ASD) Closure"],"prefix":"10.3390","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9600-4097","authenticated-orcid":false,"given":"Gillian","family":"Hardman","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Blackpool Victoria Hospital, Blackpool FY3 8NR, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Zacharias","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Blackpool Victoria Hospital, Blackpool FY3 8NR, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2023,5,10]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1093\/ije\/dyz009","article-title":"Global birth prevalence of congenital heart defects 1970\u20132017: Updated systematic review and meta-analysis of 260 studies","volume":"48","author":"Liu","year":"2019","journal-title":"Int. J. Epidemiol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"2264","DOI":"10.1161\/CIRCULATIONAHA.110.946343","article-title":"Temporal trends in survival to adulthood among patients born with congenital heart disease from 1970 to 1992 in Belgium","volume":"122","author":"Moons","year":"2010","journal-title":"Circulation"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1093\/eurheartj\/ehaa554","article-title":"2020 ESC Guidelines for the management of adult congenital heart disease: The Task Force for the management of adult congenital heart disease of the European Society of Cardiology (ESC). Endorsed by: Association for European Paediatric and Congenital Cardiology (AEPC), International Society for Adult Congenital Heart Disease (ISACHD)","volume":"42","author":"Baumgartner","year":"2021","journal-title":"Eur. Heart J."},{"key":"ref_4","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":"ref_5","doi-asserted-by":"crossref","first-page":"64","DOI":"10.4103\/apc.APC_119_18","article-title":"Unroofed coronary sinus: An unusual interatrial communication and a rare childhood entity","volume":"12","author":"Murli","year":"2019","journal-title":"Ann. Pediatr. Cardiol."},{"key":"ref_6","first-page":"8681761","article-title":"Atrial Septal Defect with Eisenmenger Syndrome: A Rare Presentation","volume":"2020","author":"Forlemu","year":"2020","journal-title":"Case Rep. Cardiol."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"993","DOI":"10.1093\/eurheartj\/ehx687","article-title":"Long-term mortality in patients with atrial septal defect: A nationwide cohort-study","volume":"39","author":"Nyboe","year":"2018","journal-title":"Eur. Heart J."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"839","DOI":"10.1056\/NEJM199903183401103","article-title":"Atrial arrhythmia after surgical closure of atrial septal defects in adults","volume":"340","author":"Gatzoulis","year":"1999","journal-title":"N. Engl. J. Med."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e004212","DOI":"10.1161\/CIRCINTERVENTIONS.116.004212","article-title":"Closure of Secundum Atrial Septal Defects With the AMPLATZER Septal Occluder: A Prospective, Multicenter, Post-Approval Study","volume":"10","author":"Turner","year":"2017","journal-title":"Circ. Cardiovasc. Interv."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1645","DOI":"10.1056\/NEJM199012133232401","article-title":"Long-term outcome after surgical repair of isolated atrial septal defect. Follow-up at 27 to 32 years","volume":"323","author":"Murphy","year":"1990","journal-title":"N. Engl. J. Med."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1016\/S0195-668X(02)00383-4","article-title":"Excellent survival and low incidence of arrhythmias, stroke and heart failure long-term after surgical ASD closure at young age. A prospective follow-up study of 21\u201333 years","volume":"24","author":"Meijboom","year":"2003","journal-title":"Eur. Heart J."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"228","DOI":"10.1016\/j.ahj.2005.02.051","article-title":"Percutaneous versus surgical closure of secundum atrial septal defect: Comparison of early results and complications","volume":"151","author":"Butera","year":"2006","journal-title":"Am. Heart J."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"199","DOI":"10.1136\/heart.89.2.199","article-title":"Experience with transcatheter closure of secundum atrial septal defects using the Amplatzer septal occluder: A single centre study in 236 consecutive patients","volume":"89","author":"Fischer","year":"2003","journal-title":"Heart"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1002\/ccd.20211","article-title":"Erosion of Amplatzer septal occluder device after closure of secundum atrial septal defects: Review of registry of complications and recommendations to minimize future risk","volume":"63","author":"Amin","year":"2004","journal-title":"Catheter. Cardiovasc. Interv."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"302","DOI":"10.1016\/j.jacc.2003.10.030","article-title":"Incidence and clinical course of thrombus formation on atrial septal defect and patient foramen ovale closure devices in 1000 consecutive patients","volume":"43","author":"Krumsdorf","year":"2004","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"1836","DOI":"10.1016\/S0735-1097(02)01862-4","article-title":"Comparison between transcatheter and surgical closure of secundum atrial septal defect in children and adults: Results of a multicenter nonrandomized trial","volume":"39","author":"Du","year":"2002","journal-title":"J. Am. Coll. Cardiol."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"377","DOI":"10.4244\/EIJV7I3A63","article-title":"Percutaneous versus surgical closure of secundum atrial septal defects: A systematic review and meta-analysis of currently available clinical evidence","volume":"7","author":"Butera","year":"2011","journal-title":"EuroIntervention"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"149","DOI":"10.1016\/j.ijcard.2017.03.073","article-title":"Treatment options for the closure of secundum atrial septal defects: A systematic review and meta-analysis","volume":"241","author":"Villablanca","year":"2017","journal-title":"Int. J. Cardiol."},{"key":"ref_19","doi-asserted-by":"crossref","first-page":"S2931","DOI":"10.21037\/jtd.2018.07.116","article-title":"Surgical closure of atrial septal defects","volume":"10","author":"Kalfa","year":"2018","journal-title":"J. Thorac. Dis."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/s13019-022-01753-6","article-title":"Individualized strategy of minimally invasive cardiac surgery in congenital cardiac septal defects","volume":"17","author":"Zhu","year":"2022","journal-title":"J. Cardiothorac. Surg."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"752","DOI":"10.1093\/ejcts\/ezs405","article-title":"Closure of secundum atrial septal defects in the adult and elderly patients","volume":"43","author":"Nyboe","year":"2013","journal-title":"Eur. J. Cardiothorac. Surg."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1750","DOI":"10.1161\/CIRCULATIONAHA.107.188525","article-title":"Percutaneous and minimally invasive valve procedures: A scientific statement from the American Heart Association Council on Cardiovascular Surgery and Anesthesia, Council on Clinical Cardiology, Functional Genomics and Translational Biology Interdisciplinary Working Group, and Quality of Care and Outcomes Research Interdisciplinary Working Group","volume":"117","author":"Rosengart","year":"2008","journal-title":"Circulation"},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"1882","DOI":"10.21037\/jtd-2020-mics-12","article-title":"Minimally invasive cardiac surgery-a Fad or the Future?","volume":"13","author":"Ali","year":"2021","journal-title":"J. Thorac. Dis."},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"473","DOI":"10.1016\/S0003-4975(00)02443-7","article-title":"Ministernotomy versus full sternotomy in congenital heart defects: A prospective randomized study","volume":"71","author":"Luo","year":"2001","journal-title":"Ann. Thorac. Surg."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"60","DOI":"10.21037\/acs.2017.01.05","article-title":"Minimally invasive video assisted surgical closure of secundum atrial septal defect","volume":"6","author":"Burkhart","year":"2017","journal-title":"Ann. Cardiothorac. Surg."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"mmv042","DOI":"10.1093\/mmcts\/mmv042","article-title":"Minimally invasive endoscopic repair of atrial septal defects via right minithoracotomy","volume":"2016","author":"Nagendran","year":"2016","journal-title":"Multimed. Man Cardiothorac. Surg."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"139","DOI":"10.1016\/j.jtcvs.2009.07.022","article-title":"Port-access minimally invasive surgery for atrial septal defects: A 10-year single-center experience in 166 patients","volume":"139","author":"Vistarini","year":"2010","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"757","DOI":"10.1016\/j.jtcvs.2007.04.004","article-title":"Evolution of surgical techniques for atrial septal defect repair in adults: A 10-year single-institution experience","volume":"134","author":"Ak","year":"2007","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"181","DOI":"10.15171\/jcvtr.2014.008","article-title":"Experiences in surgical closure of atrial septal defect with anterior mini-thoracotomy approach","volume":"6","author":"Baharestani","year":"2014","journal-title":"J. Cardiovasc. Thorac. Res."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"E75","DOI":"10.1503\/cjs.012813","article-title":"Clinical outcomes of minimally invasive endoscopic and conventional sternotomy approaches for atrial septal defect repair","volume":"57","author":"Chu","year":"2014","journal-title":"Can. J. Surg."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"961","DOI":"10.1093\/icvts\/ivz017","article-title":"Minimally invasive surgery for atrial septal defects: A 20-year experience at a single centre","volume":"28","author":"Vida","year":"2019","journal-title":"Interact. Cardiovasc. Thorac. Surg."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1016\/j.jtcvs.2013.08.017","article-title":"Evaluation of different minimally invasive techniques in the surgical treatment of atrial septal defect","volume":"148","author":"Luo","year":"2014","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1186\/s13019-021-01648-y","article-title":"Anterolateral minithoracotomy versus median sternotomy for the surgical treatment of atrial septal defects: A meta-analysis and systematic review","volume":"16","author":"Lei","year":"2021","journal-title":"J. Cardiothorac. Surg."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"4808","DOI":"10.1111\/jocs.17093","article-title":"Minimally invasive versus sternotomy approach for double-patch repair of partial anomalous pulmonary venous connection and sinus venosus defect in pediatric and adult patients: Mid to long-term outcomes","volume":"37","author":"Amirghofran","year":"2022","journal-title":"J. Card. Surg."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1653","DOI":"10.1111\/jocs.14591","article-title":"Minimally invasive periareolar approach to repair sinus venosus atrial septal defect with partial anomalous pulmonary venous connection","volume":"35","author":"Bozso","year":"2020","journal-title":"J. Card. Surg."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"e223","DOI":"10.1016\/j.athoracsur.2016.01.064","article-title":"Minimally Invasive Periareolar Approach to Unroofed Coronary Sinus Atrial Septal Defect Repair","volume":"102","author":"Bozso","year":"2016","journal-title":"Ann. Thorac. Surg."},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1917","DOI":"10.1111\/jocs.15449","article-title":"Right mini-thoracotomy approach for grown-up congenital heart disease","volume":"36","author":"Barbero","year":"2021","journal-title":"J. Card. Surg."},{"key":"ref_38","first-page":"603","article-title":"Minimally invasive endoscopic surgery versus catheter-based device occlusion for atrial septal defects in adults: Reconsideration of the standard of care","volume":"24","author":"Schneeberger","year":"2017","journal-title":"Interact. Cardiovasc. Thorac. Surg."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"543","DOI":"10.1253\/circj.CJ-16-0904","article-title":"Comparison of Clinical Outcomes After Transcatheter vs. Minimally Invasive Cardiac Surgery Closure for Atrial Septal Defect","volume":"81","author":"Kodaira","year":"2017","journal-title":"Circ. J."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"700","DOI":"10.1177\/02676591211021935","article-title":"Minimally invasive versus transcatheter closure of secundum atrial septal defects: A systematic review and meta-analysis","volume":"37","author":"Goh","year":"2022","journal-title":"Perfusion"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1007\/s00246-020-02341-y","article-title":"Minimally Invasive Surgery vs. Device Closure for Atrial Septal Defects: A Systematic Review and Meta-analysis","volume":"41","author":"Mylonas","year":"2020","journal-title":"Pediatr. Cardiol."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"764","DOI":"10.1111\/jocs.14456","article-title":"Transcatheter closure vs. totally endoscopic robotic surgery for atrial septal defect closure: A single-center experience","volume":"35","author":"Kadirogullari","year":"2020","journal-title":"J. Card. Surg."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1077","DOI":"10.1093\/ehjci\/jey102","article-title":"Imaging the adult with congenital heart disease: A multimodality imaging approach-position paper from the EACVI","volume":"19","author":"Miller","year":"2018","journal-title":"Eur. Heart J. Cardiovasc. Imaging"},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"2281","DOI":"10.1093\/eurheartj\/eht150","article-title":"2013 ESC Guidelines on cardiac pacing and cardiac resynchronization therapy: The Task Force on cardiac pacing and resynchronization therapy of the European Society of Cardiology (ESC). Developed in collaboration with the European Heart Rhythm Association (EHRA)","volume":"34","author":"Brignole","year":"2013","journal-title":"Eur. Heart J."},{"key":"ref_45","unstructured":"Kilner, P., Nichol, E., and Rubens, M. (2015). Oxford univeristy Press."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"1801913","DOI":"10.1183\/13993003.01913-2018","article-title":"Haemodynamic definitions and updated clinical classification of pulmonary hypertension","volume":"53","author":"Simonneau","year":"2019","journal-title":"Eur. Respir. J."},{"key":"ref_47","doi-asserted-by":"crossref","first-page":"828","DOI":"10.1161\/CIRCULATIONAHA.104.529800","article-title":"Exercise intolerance in adult congenital heart disease: Comparative severity, correlates, and prognostic implication","volume":"112","author":"Diller","year":"2005","journal-title":"Circulation"},{"key":"ref_48","doi-asserted-by":"crossref","first-page":"1886","DOI":"10.21037\/jtd-20-1804","article-title":"Anesthesia for minimally invasive cardiac surgery","volume":"13","author":"White","year":"2021","journal-title":"J. Thorac. Dis."},{"key":"ref_49","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1007\/s11748-015-0611-2","article-title":"Alternative peripheral perfusion strategies for safe cardiopulmonary bypass in atrial septal defect closure via a right minithoracotomy approach","volume":"64","author":"Kitahara","year":"2016","journal-title":"Gen. Thorac. Cardiovasc. Surg."},{"key":"ref_50","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1093\/eurheartj\/ehq352","article-title":"Benefit of atrial septal defect closure in adults: Impact of age","volume":"32","author":"Humenberger","year":"2011","journal-title":"Eur. Heart J."},{"key":"ref_51","doi-asserted-by":"crossref","first-page":"455","DOI":"10.1161\/CIRCINTERVENTIONS.108.826560","article-title":"Pulmonary arterial hypertension in patients with transcatheter closure of secundum atrial septal defects: A longitudinal study","volume":"2","author":"Yong","year":"2009","journal-title":"Circ. Cardiovasc. Interv."},{"key":"ref_52","doi-asserted-by":"crossref","first-page":"1037","DOI":"10.1161\/01.CIR.76.5.1037","article-title":"Isolated atrial septal defect with pulmonary vascular obstructive disease--long-term follow-up and prediction of outcome after surgical correction","volume":"76","author":"Steele","year":"1987","journal-title":"Circulation"},{"key":"ref_53","doi-asserted-by":"crossref","first-page":"716","DOI":"10.1093\/eurheartj\/eht072","article-title":"Current era survival of patients with pulmonary arterial hypertension associated with congenital heart disease: A comparison between clinical subgroups","volume":"35","author":"Manes","year":"2014","journal-title":"Eur. Heart J."},{"key":"ref_54","doi-asserted-by":"crossref","first-page":"X13","DOI":"10.4244\/EIJV12SXA3","article-title":"Atrial septal defect closure with left ventricular dysfunction","volume":"12","author":"Tadros","year":"2016","journal-title":"EuroIntervention"},{"key":"ref_55","first-page":"803","article-title":"Myocardial protection during minimally invasive mitral valve surgery: Strategies and cardioplegic solutions","volume":"2","author":"Garbade","year":"2013","journal-title":"Ann. Cardiothorac. Surg."},{"key":"ref_56","doi-asserted-by":"crossref","first-page":"62","DOI":"10.1016\/j.asjsur.2021.06.021","article-title":"Surgical or interventional treatment for adult patients with atrial septal defect and atrial fibrillation: A systemic review and meta-analysis","volume":"45","author":"Wu","year":"2022","journal-title":"Asian J. Surg."},{"key":"ref_57","doi-asserted-by":"crossref","first-page":"4390","DOI":"10.1111\/jocs.15906","article-title":"Anomalous left hepatic vein to coronary sinus in a patient with atrial septal defect: Minimally invasive approach; technical challenges","volume":"36","author":"Rao","year":"2021","journal-title":"J. Card. Surg."},{"key":"ref_58","doi-asserted-by":"crossref","first-page":"3075","DOI":"10.1093\/eurheartj\/ehv319","article-title":"2015 ESC Guidelines for the management of infective endocarditis: The Task Force for the Management of Infective Endocarditis of the European Society of Cardiology (ESC). Endorsed by: European Association for Cardio-Thoracic Surgery (EACTS), the European Association of Nuclear Medicine (EANM)","volume":"36","author":"Habib","year":"2015","journal-title":"Eur. Heart J."},{"key":"ref_59","doi-asserted-by":"crossref","first-page":"2020","DOI":"10.1016\/j.athoracsur.2020.10.028","article-title":"Early Results of Robotically Assisted Congenital Cardiac Surgery: Analysis of 242 Patients","volume":"112","author":"Onan","year":"2021","journal-title":"Ann. Thorac. Surg."},{"key":"ref_60","doi-asserted-by":"crossref","first-page":"933","DOI":"10.1093\/icvts\/ivu263","article-title":"Totally robotic atrial septal defect closure: 7-year single-institution experience and follow-up","volume":"19","author":"Xiao","year":"2014","journal-title":"Interact. Cardiovasc. Thorac. Surg."},{"key":"ref_61","doi-asserted-by":"crossref","first-page":"445","DOI":"10.2165\/00129784-200101060-00004","article-title":"Contemporary management of children with atrial septal defects: A focus on transcatheter closure","volume":"1","author":"Bennhagen","year":"2001","journal-title":"Am. J. Cardiovasc. Drugs"},{"key":"ref_62","doi-asserted-by":"crossref","first-page":"e98","DOI":"10.1016\/j.hlc.2021.03.270","article-title":"Atrial Septal Defect Closure via Ministernotomy in Children","volume":"30","author":"Konstantinov","year":"2021","journal-title":"Heart Lung Circ."},{"key":"ref_63","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/j.xjtc.2022.02.037","article-title":"Minimally invasive approaches to atrial septal defect closure","volume":"14","author":"Konstantinov","year":"2022","journal-title":"JTCVS Tech."},{"key":"ref_64","doi-asserted-by":"crossref","first-page":"200","DOI":"10.1016\/j.athoracsur.2011.03.033","article-title":"Totally thoracoscopic surgical closure of atrial septal defect in small children","volume":"92","author":"Wang","year":"2011","journal-title":"Ann. Thorac. Surg."},{"key":"ref_65","doi-asserted-by":"crossref","first-page":"527","DOI":"10.1177\/2150135114542166","article-title":"Minimally invasive video-assisted surgical closure of atrial septal defects: A safe approach","volume":"5","author":"Burkhart","year":"2014","journal-title":"World J. Pediatr. Congenit. Heart Surg."},{"key":"ref_66","doi-asserted-by":"crossref","first-page":"90","DOI":"10.14740\/cr699w","article-title":"Minimal Invasive Technique in Atrial Septal Defect Surgery","volume":"9","author":"Sabzi","year":"2018","journal-title":"Cardiol. Res."},{"key":"ref_67","doi-asserted-by":"crossref","first-page":"974720","DOI":"10.3389\/fcvm.2022.974720","article-title":"Health-related quality of life in children with congenital heart disease following interventional closure versus minimally invasive closure","volume":"9","author":"Yuan","year":"2022","journal-title":"Front. Cardiovasc. Med."},{"key":"ref_68","doi-asserted-by":"crossref","first-page":"e356","DOI":"10.1016\/j.jtcvs.2019.02.018","article-title":"Minimally invasive cardiac surgery and the importance of qualitative patient-centered metrics to guide innovations","volume":"157","author":"Kent","year":"2019","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"ref_69","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.ijsu.2017.01.105","article-title":"Patient body image, self-esteem, and cosmetic results of minimally invasive robotic cardiac surgery","volume":"39","author":"Kaya","year":"2017","journal-title":"Int. J. Surg."},{"key":"ref_70","doi-asserted-by":"crossref","first-page":"e001259","DOI":"10.1136\/openhrt-2020-001259","article-title":"BISMICS consensus statement: Implementing a safe minimally invasive mitral programme in the UK healthcare setting","volume":"7","author":"Vohra","year":"2020","journal-title":"Open Heart"},{"key":"ref_71","doi-asserted-by":"crossref","first-page":"444","DOI":"10.1308\/rcsann.2020.7092","article-title":"Establishing minimally invasive cardiac surgery in a low-volume mitral surgery centre","volume":"103","author":"Kirmani","year":"2021","journal-title":"Ann. R. Coll. Surg. Engl."}],"container-title":["Journal of Cardiovascular Development and Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2308-3425\/10\/5\/206\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T19:31:51Z","timestamp":1760124711000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2308-3425\/10\/5\/206"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,5,10]]},"references-count":71,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2023,5]]}},"alternative-id":["jcdd10050206"],"URL":"https:\/\/doi.org\/10.3390\/jcdd10050206","relation":{},"ISSN":["2308-3425"],"issn-type":[{"value":"2308-3425","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,5,10]]}}}