 
         
         Abstract
         
         We present the case of a minimally invasive surgical correction for failed percutaneous
            atrial septal defect (ASD) closure in a 57-year-old female patient with residual ASD,
            tricuspid regurgitation, atrial fibrillation, and embolization of one of two occluders
            to the superior mesenteric artery. Our surgical approach consisted of anterolateral
            minithoracotomy, aortic and femoral vein cannulation, cryoablation, cardiac device
            removal, closure of ASD with autologous pericardium, and tricuspid repair. The procedure
            was uneventful and patient was discharged home on postoperative day 4.
         
         Keywords
cardiovascular surgery - heart disease - minimally invasive surgery (includes port
            access - minithoracotomy)