Intraoperative device closure of secundum atrial septal defect with a right anterior minithoracotomy in 100 patients  Li Hongxin, MD, Guo Wenbin, MD, Sheng Lijun, MD, Wang Zhengjun, MD, Liang Hao, MD, Zou Chengwei, MD, Du Liang, MD, Yuan Guidao, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 134, Issue 4, Pages 946-951 (October 2007) DOI: 10.1016/j.jtcvs.2007.05.002 Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 A 2.5-cm right anterior submammary incision within the “bikini lines.” The Journal of Thoracic and Cardiovascular Surgery 2007 134, 946-951DOI: (10.1016/j.jtcvs.2007.05.002) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 The delivery system includes a plastic sheath with a side arm and a delivery cable. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 946-951DOI: (10.1016/j.jtcvs.2007.05.002) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 A, Under TEE guidance, the left atrial disk was extruded first, and the right atrial disk was deployed subsequently while traction was maintained on the delivery cable. B, The device was fully deployed across the ASD. TEE, Transesophageal echocardiography; ASD, atrial septal defect. The Journal of Thoracic and Cardiovascular Surgery 2007 134, 946-951DOI: (10.1016/j.jtcvs.2007.05.002) Copyright © 2007 The American Association for Thoracic Surgery Terms and Conditions