Sinus venosus atrial septal defect and partial anomalous pulmonary venous connection in a patient with dextrocardia

Shimajiri, Hiroto; Harada, Yu; Kinoshita, Mirai; Mikami, Shinsuke

doi:10.1136/bcr-2021-245523

Cited by 3 publications

(1 citation statement)

References 18 publications

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“…In addition, the electrocardiogram of the patient suggested ventricular rate rapid atrial fibrillation, and it has been reported that patients with right-sided hearts are more prone to arrhythmias, especially atrial fibrillation/atrial flutter, which is thought to be related to genetic factors and hemodynamic and circulatory load changes. [4][5][6][7] The cerebral infarct TOAST classification was thought to be cardiogenic embolic.…”

Section: Discussionmentioning

confidence: 99%

Mechanical thrombectomy for acute left middle cerebral artery occlusion in a patient with mirror- image dextrocardia

Wang,

Jiang,

Chen

et al. 2023

NeuroAsia

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Mirror-image dextrocardia is a physiological variant in which the heart is located in a mirror position to the right of the position of the normal human heart. Mirror-image dextrocardia combined with acute large-artery occlusive stroke is extremely rare in clinical practice. We present here a 67-year- old woman with complete blockage in her left middle cerebral artery. The patient also had a mirror- image dextrocardia. In this report, we share our experience in treating the patient using mechanical thrombectomy. During her visit to the emergency department, we performed various tests to understand the patient’s anatomy. Based on the findings, we decided to approach the femoral artery. Using a combination of stent thrombectomy and intermediate catheter aspiration, we successfully restored blood flow to the patient’s left middle cerebral artery.

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Section: Discussionmentioning

confidence: 99%

Mechanical thrombectomy for acute left middle cerebral artery occlusion in a patient with mirror- image dextrocardia

Wang,

Jiang,

Chen

et al. 2023

NeuroAsia

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Surgical Correction of a Sinus Venosus Atrial Septal Defect with Partial Anomalous Pulmonary Venous Connections Using Cardiac Computed Tomography Imaging and a 3D-Printed Model

Kim,

Moon,

Lee

et al. 2024

Animals

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Sinus venosus atrial septal defects (SVASDs), concurrent with partial anomalous pulmonary venous connections (PAPVCs), are a rare congenital heart disease in dogs. Surgical correction is essential when clinical signs or significant hemodynamic changes are present. We aimed to report on the successful surgical correction of an SVASD with PAPVCs, using a computed tomography (CT)-based customized 3D cardiac model. A 10-month-old male poodle was referred for corrective surgery for an ASD. Echocardiography confirmed a hemodynamically significant left-to-right shunting flow through an interatrial septal defect and severe right-sided heart volume overload. For a comprehensive diagnosis, a CT scan was performed, which confirmed an SVASD with PAPVCs. A customized 3D cardiac model was used for preoperative decision-making and surgical rehearsal. The defect was repaired using an autologous pericardial patch under a cardiopulmonary bypass (CPB). Temporary pacing was applied for sinus bradycardia and third-degree atrioventricular block. The patient recovered from the anesthesia without further complications. The pacemaker was removed during hospitalization and the patient was discharged without complications 2 weeks post-surgery. At the three-month follow-up, there was no shunting flow in the interatrial septum and the right-sided volume overload had been resolved. The cardiac medications were discontinued, and there were no complications. This report indicates the validity of surgical correction under CPB for an SVASD with PAPVCs, and the advantages of utilizing a CT-based 3D cardiac model for preoperative planning to increase the surgical success rate.

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Septal Defects: Unveiling Sex-Based Disparities and Screening Challenges for Timely Intervention Through a Case Report and Systematic Literature Review

Rivera,

Trivedi,

Cao

2024

Cureus

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Atrial septal defects (ASDs), comprising a significant portion of congenital cardiac anomalies, encompass a rarer and more diagnostically challenging subset known as sinus venosus ASDs (SVASDs). ASDs are more prevalent in females, and the prognosis for patients under 40 years of age is generally favorable with advancements in surgical and transcatheter interventions. However, undiagnosed ASDs in adults above 40 years old, especially females, often lead to severe complications, including pulmonary hypertension, atrial fibrillation, Eisenmenger syndrome, and a mortality rate exceeding 50%. Our detailed case study focuses on an obese 42-year-old Hispanic migrant female with chronic respiratory failure misattributed to pulmonary hypertension, resulting in the progression of complications from undiagnosed SVASD. Further investigation using contrast-enhanced transesophageal echocardiography (TEE) elucidated the correct diagnosis four years after her initial presentation. This report explores the potential factors contributing to the patient’s delayed diagnosis and development of advanced cardiac complications of pulmonary hypertension leading to Eisenmenger syndrome that precluded her from procedural intervention. Furthermore, this report pioneers the first thorough review of case reports in adults newly diagnosed with SVASD, revealing sex-based differences in complications.

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Sinus venosus atrial septal defect and partial anomalous pulmonary venous connection in a patient with dextrocardia

Cited by 3 publications

References 18 publications

Mechanical thrombectomy for acute left middle cerebral artery occlusion in a patient with mirror- image dextrocardia

Mechanical thrombectomy for acute left middle cerebral artery occlusion in a patient with mirror- image dextrocardia

Surgical Correction of a Sinus Venosus Atrial Septal Defect with Partial Anomalous Pulmonary Venous Connections Using Cardiac Computed Tomography Imaging and a 3D-Printed Model

Septal Defects: Unveiling Sex-Based Disparities and Screening Challenges for Timely Intervention Through a Case Report and Systematic Literature Review

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