Journal of Pediatric Cardiology and Cardiac Surgery

Patients with atrial septal defects may have to undergo surgery if catheter device closure is deemed impossible. This crossover is a decisive moment as the sternotomy skin incision scar could be a significant psychological burden for patients. Herein, we present the case of a seven-year-old female patient who was diagnosed with an atrial septal defect with a deficient inferior rim. The repair was performed through a vertical sub-axillary mini-skin incision, with the aid of an endoscope, without making an extra skin incision apart from that for femoral cannulation. The length of the main skin incision was 1.5 cm. The present case proved that an excellent cosmetic result is achievable for patients undergoing surgery for atrial septal defects.