Journal of Robotic Surgery

, Volume 12, Issue 1, pp 185–188 | Cite as

Robotic-assisted removal of an Amplatzer atrial septal occluder device for residual shunting, closure of septal defect and simultaneous tricuspid annuloplasty

  • Burak Onan
  • Ersin Kadirogullari
  • Salih Guler
  • Zeynep Kahraman
Case Report


Complications after percutaneous atrial septal defect closure such as residual shunting or device-related events are generally treated using conventional sternotomy or thoracotomy incisions. In these cases, minimally invasive approaches including mini-sternotomy, mini-thoracotomy or endoscopic techniques can also be used in the management of complications, residual defects and concomitant procedures. However, robotic surgery is a reasonable alternative for removal of septal occluder devices and concomitant repair procedures to prevent cardiopulmonary morbidities. Herein, we report an adult, who underwent a totally endoscopic robotic removal of septal occluder device, closure of septal defect with autologous pericardial patch and tricuspid valve annuloplasty through a right atriotomy approach.


Robotic surgery Percutaneous atrial septal defect closure Septal occluder device Residual shunting 


Compliance with ethical standards

Conflict of interest

All authors declare that they have no conflict of interest.

Informed consent

Written informed consent was obtained from the patient for publication of this Case Report/any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.


  1. 1.
    Xiao C, Gao C, Yang M et al (2014) Totally robotic atrial septal defect closure: 7-year single-institution experience and follow-up. Interact Cardiovasc Thorac Surg 19(6):933–937CrossRefPubMedGoogle Scholar
  2. 2.
    Onan B, Aydin U, Basgoze S, Bakir I (2016) Totally endoscopic robotic repair of coronary sinus atrial septal defect. Interact Cardiovasc Thorac Surg 23:662–664CrossRefPubMedGoogle Scholar
  3. 3.
    Bakir I, Onan B, Kadirogullari E (2016) Robotically assisted repair of partial atrioventricular canal defect. Artif Organs 40(9):917–918CrossRefPubMedGoogle Scholar
  4. 4.
    Onan B, Aydin U, Turkvatan A, Bakir I (2016) Robot-assisted repair of right partial anomalous pulmonary venous return. J Card Surg 31(6):394–397CrossRefPubMedGoogle Scholar
  5. 5.
    Zdradzinski MJ, Elkin RL, Lee JM, Qureshi AM, El-Mallah W, Krasuski RA (2016) Contributors to and impact of residual shunting after device closure of atrial septal defects. Am Heart J 177:112–119CrossRefPubMedGoogle Scholar
  6. 6.
    Bonatti J, Bonaros N, Müller S, Bartel T (2008) Completely endoscopic removal of a dislocated Amplatzer atrial septal defect closure device. Interact Cardiovasc Thorac Surg 7:130–132CrossRefPubMedGoogle Scholar

Copyright information

© Springer-Verlag London 2017

Authors and Affiliations

  • Burak Onan
    • 1
    • 3
  • Ersin Kadirogullari
    • 1
  • Salih Guler
    • 1
  • Zeynep Kahraman
    • 2
  1. 1.Departments of Cardiovascular SurgeryIstanbul SBU Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery CenterIstanbulTurkey
  2. 2.AnesthesiologyIstanbul SBU Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery CenterIstanbulTurkey
  3. 3.Istanbul Mehmet Akif Ersoy GKDC HastanesiKalp Damar Cerrahisi KliniğiIstanbulTurkey

Personalised recommendations