Open Access

CASE REPORT

Surgery for Residual Inferior Left-to-Right Atrial Shunt

by Francesco Bertelli¹, Claudia Cattapan¹, Alvise Guariento², Vladimiro L. Vida^1,*

1 Paediatric and Congenital Cardiac Surgery Unit, Department of Cardiac, Thoracic, Vascular Sciences and Public Health, University of Padua, Padua, Italy
2 Department of Cardiovascular Surgery, The Hospital for Sick Children, University of Toronto, Toronto, Canada

* Corresponding Author: Vladimiro L. Vida. Email:

Congenital Heart Disease 2021, 16(1), 39-43. https://doi.org/10.32604/CHD.2021.013256

Received 31 July 2020; Accepted 30 September 2020; Issue published 23 December 2020

Abstract

We report the case of three female patients who were scheduled for surgical correction of residual left-to-right shunt after initial repair of sinus venosus atrial septal defect (SV-ASD) during childhood. After excluding the possibility of an hemodynamic intervention, all three patients underwent a successful surgical closure through a right mini sub-axillary approach by using total peripheral cannulation for cardiopulmonary bypass and leaving the inferior vena cava completely un-snared allowing for an optimal visualization of the residual atrial septal communication and avoiding extensive dissection of mediastinal structures.

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Keywords

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