DOI: 10.36347/sjmcr.2017.v05i12.019

Pages: 878-880

Atrial septal defect (ASD) closure is a commonly performed surgical intervention for congenital heart anomalies, traditionally conducted using cardiopulmonary bypass (CPB) with hypothermic and hyperkalemic cardiac arrest. Although effective, this approach is associated with risks such as myocardial edema and ischemia-reperfusion injury, which may impact postoperative outcomes. Beating heart surgery has recently emerged as a promising alternative, offering the potential to reduce these complications by maintaining cardiac activity during the procedure. At Bangabandhu Sheikh Mujib Medical University (BSMMU), we performed a successful beating heart closure of a secundum ASD in a 9-year-old female patient. The surgery was conducted using CPB without arresting the heart, demonstrating the feasibility and effectiveness of this technique. This case highlights the potential of the beating heart approach as a safe and viable alternative for secundum ASD closure, particularly in reducing myocardial injury and improving surgical outcomes. Further studies are required to evaluate its broader applicability and long-term outcomes. Our findings support the consideration of beating heart techniques as an innovative option in congenital cardiac surgery.