Closed-Chest Robotic Repair of Partial Anomalous Pulmonary Venous Connection and Sinus Venosus Atrial Septal Defect Using the Warden Technique

An 11-year-old patient with partial anomalous venous connection, atrial septal defect (ASD), and persistent left superior vena cava underwent a closed-chest, totally thoracoscopic robotic repair using the Warden technique. The patient was extubated in the operating room and stayed in the intensive care unit for 24 h. He was discharged home on day 5 without complications. At 1-year follow-up, the right ventricular size had improved, and tricuspid regurgitation was reduced. He remains asymptomatic and tolerates physical activity adequately. Minimally invasive robotic surgery for pediatric and congenital heart pathologies appears to be safe and feasible, potentially offering a swifter return to daily and even sports activities.