Minimally invasive video assisted surgical closure of secundum atrial septal defect

A 53-year-old male presented with an eight-month history of shortness of breath and palpitations. Additionally, he had a recent history of paroxysmal atrial fibrillation. An echocardiogram demonstrated a large secundum atrial septal defect (ASD), a severely dilated right atrium and ventricle, and evidence of depressed right ventricular function (Figure 1). He was referred for ASD repair, biatrial maze and left atrial appendage ligation