We have greatly enjoyed reading the published article by Chen and colleagues.1 They evaluated the safety and efficacy of the intraoperative device closure of a perimembranous ventricular septal defect (VSD) using the right thoracic minimal incision to right ventricle approach, and revealed a simple and effective procedure that does not require partial splitting of the sternum. In recent years, an increasing number of surgeons have explored minimizing operative trauma and improving cosmetic results.