Minimally invasive congenital cardiac surgery with unsnared inferior vena cava

Guariento, Alvise; Cattapan, Claudia; Bertelli, Francesco; Vida, Vladimiro L.

doi:10.22541/au.158894538.89968531

Cited by 1 publication

(1 citation statement)

References 5 publications

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“…Representing a complex subset of ASDs, SV-ASDs with PAPVD have traditionally been repaired surgically through a median sternotomy incision [ 16 ]. A minimally invasive surgical approach via anterolateral right mini-thoracotomy has been associated with less blood loss, a shorter hospitalization period, faster recovery, improved healing, and better cosmetic results [ 17 ]. Furthermore, having this type of incision leaves open the possibility for future median sternotomy with fewer adhesions, given the fact that the dissection and tissue trauma are limited [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Superior Sinus Venosus Atrial Septal Defect with Partial Anomalous Pulmonary Venous Drainage—Minimally Invasive Approach—Case Report

et al. 2021

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The atrial septal defect is, after bicuspid aortic valve disease, the most common congenital cardiac disease present in the adult population. The most common atrial septal defects are the ostium secundum type (75–80%), followed by the ostium primum type (15%). The sinus venosus atrial septal defects (SV-ASD), defined as a communication in the posterior part of the interatrial septum, account for about 5 to 10% of atrial septal defects. Approximately 90% of SV-ASDs are associated with partial anomalous pulmonary venous drainage (PAPVD). The minimally invasive approach has gained ground in the treatment of ASDs, especially those of the ostium secundum type. The sinus venosus type is a relatively uncommon form of ASD, which, when associated with a PAPVD, is considered a complex cardiac malformation, and is usually treated in a classical manner, through median sternotomy. We describe the case of a 45-year-old woman diagnosed in adolescence with SV-ASD with PAPVD, who successfully underwent minimally invasive repair with fresh autologous pericardial patch reconstruction through an anterolateral mini-thoracotomy incision. The patient presented with shortness of breath and fatigue after heavy exertions, episodes of paroxysmal nocturnal dyspnea, palpitations during effort and at rest, and had a history of syncope dating from 17 years previously. Echocardiography revealed an SV-ASD with PAPVD in the right atrium and the intraoperative examination discovered that both right pulmonary veins were draining into the superior vena cava.

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Section: Discussionmentioning

confidence: 99%