Open Access
CASE REPORT
Surgery for Residual Inferior Left-to-Right Atrial Shunt
Francesco Bertelli1, Claudia Cattapan1, Alvise Guariento2, Vladimiro L. Vida1,*
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.
Keywords
Cite This Article
Bertelli, F., Cattapan, C., Guariento, A., Vida, V. L. (2021). Surgery for Residual Inferior Left-to-Right Atrial Shunt.
Congenital Heart Disease, 16(1), 39–43. https://doi.org/10.32604/CHD.2021.013256