Surgical Closure of Sinus Venosus Atrial Septal Defect Using A Single Patch-Transcaval Repair Technique

Gajjar, Trushar; Hiremath, Channabasvaraj S.; Desai, Nisarg

doi:10.1111/j.1540-8191.2011.01270.x

Cited by 22 publications

(26 citation statements)

References 12 publications

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“…The main principle of surgical repair involves redirecting the anomalous pulmonary venous blood into the left atrium and closure of the ASD without compromising the nearby structures. The surgical approach for such defects usually is more complex than for isolated secundum ASD and may be complicated by the risk of sinus node dysfunction, residual atrial shunting, SVC, and/or pulmonary veins obstruction …”

Section: Introductionmentioning

confidence: 99%

“…The surgical approach for such defects usually is more complex than for isolated secundum ASD and may be complicated by the risk of sinus node dysfunction, residual atrial shunting, SVC, and/or pulmonary veins obstruction. [9][10][11][12] In this article, we report on an innovative technique for transcatheter closure of such defects with long period of follow-up by placement of a covered Cheatham-Platinum (CP) stents into the SVC with or without subsequent device implantation, separating the SVC from right upper pulmonary vein (RUPV). We were the first to describe this novel technique in 2013 during the scientific sessions of the Frankfurt CSI meeting.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Transcatheter closure of sinus venosus atrial septal defect with anomalous pulmonary venous drainage: Innovative technique with long‐term follow‐up

Abdullah¹,

Alsalkhi

Khalid

2019

Cathet Cardio Intervent

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Introduction Surgical closure of sinus venosus atrial septal defect (SVASD) is the standard management. A safe and effective transcatheter approach will be an attractive option. Objectives To assess the feasibility and long‐term safety of transcatheter closure of SVASD with anomalous pulmonary venous drainage. Patients and methods From July 2011 to October 2013, four patients with large SVASD and anomalous right upper pulmonary venous (RUPV) drainage underwent transcatheter closure of their defects at Ibn‐Albitar Center for Cardiac Surgery, Baghdad, Iraq. Two patients with superior vena cava (SVC)‐type SVASD underwent closure using covered Cheatham‐Platinum (CP) stents with no need for septal occluder. The other two patients had large RA‐type SVASD who underwent closure using covered CP stents only in one patient and stents and device in the other one. An angiogram in the RUPV during balloon inflation in the SVC was done to ensure that the RUPV drains back to the left atrium. The covered CP stent was mounted and hand crimped onto Z‐Med™ or BIB‐balloon catheters and deployed in the desired location under transesophageal echocardiography guidance. Results The two patients with SVC‐type SVASD underwent successful closure using two overlapping covered CP stents implanted in the SVC, thus creating total septation between the SVC and the RUPV. The RA‐type SVASD patients underwent closure using two overlapping covered CP stents. One with mild to moderate residual shunt that completely disappeared at 12 months follow‐up after implantation of a second 45 mm CP stent. A significant residual shunt in the second patient was closed successfully using a PFO device. Conclusion Transcatheter closure of SVASD through SVC stent insertion with or without subsequent device implantation is feasible and effective.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Transcatheter closure of sinus venosus atrial septal defect with anomalous pulmonary venous drainage: Innovative technique with long‐term follow‐up

Abdullah¹,

Alsalkhi

Khalid

2019

Cathet Cardio Intervent

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“…Typically, the lack of tissue separating the superior vena cava (SVC) from the right upper pulmonary vein (RUPV) results in the appearance of partial anomalous pulmonary venous drainage, even though the RUPV still connects normally to the left atrium . These patients require surgical intervention to correct the left‐to‐right shunt and preserve the normal connections of the SVC to the right atrium (RA) and RUPV to left atrium (LA) . We present a case of a transcatheter repair of a SSVD with an intact atrial septum.…”

Section: Introductionmentioning

confidence: 99%

The wedding cake solution: A percutaneous correction of a form fruste superior sinus venosus atrial septal defect

Crystal

Vincent

Gray

2015

Cathet Cardio Intervent

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We present the case of a patient with a superior sinus venosus defect (SSVD), with the atypical finding of an intact atrial septum and posterior atrial wall, which underwent percutaneous closure in the cardiac catheterization laboratory for repair. SSVDs are rare congenital cardiac anomalies, but when the anatomy is amenable to percutaneous strategies, a collaborative and creative approach can result in a safe and effective result.

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“…Sinus venosus ASD is commonly located near the superior vena cava (SVC) right atrial (RA) junction. Patch repair is a standard technique to close the ASD and reroute the PAPVR simultaneously [DeLeon 1993;Gajjar 2011]. Surgical procedures not involving artificial materials are being used to repair this type of defect [Warden 1984;Williams 1984;Yamagishi 2000].…”

Section: Introductionmentioning

confidence: 99%

“…Surgical procedures not involving artificial materials are being used to repair this type of defect [Warden 1984;Williams 1984;Yamagishi 2000]. However, stenosis or obstruction of the SVC has been reported as a complication of these techniques, and SVC augmentation is necessary in some cases [Gajjar 2011]. Here we describe a simple technique for concomitant closure of sinus venosus ASD associated with PAPVR and augmentation of the SVC with a single patch.…”

Section: Introductionmentioning

confidence: 99%

Single-Patch Fold-Back Technique for Augmentation of the Superior Vena Cava in Sinus Venosus Atrial Septal Defect Associated with Partial Anomalous Pulmonary Venous Return

Ohira¹,

Doi²,

Nakamura³

2015

HSF

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Sinus venosus atrial septal defect (ASD) is usually associated with partial anomalous pulmonary venous return (PAPVR) of the right pulmonary veins to the superior vena cava (SVC), or to the SVC-right atrial junction. Standard procedure for repair of this defect is a patch roofing of the sinus venosus ASD and rerouting of pulmonary veins. However, the presence of SVC stenosis is a complication of this technique, and SVC augmentation is necessary in some cases. We present a simple technique for concomitant closure of sinus venosus ASD associated with PAPVR and augmentation of the SVC with a single autologous pericardial patch.

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Surgical Closure of Sinus Venosus Atrial Septal Defect Using A Single Patch-Transcaval Repair Technique

Abstract: We conclude that this technique is safe and simple for the repair of selected cases of sinus venosus atrial septal defect with partial anomalous pulmonary venous connection and it preserves the sinoatrial node function after surgery.

Cited by 22 publications

References 12 publications

Transcatheter closure of sinus venosus atrial septal defect with anomalous pulmonary venous drainage: Innovative technique with long‐term follow‐up

Transcatheter closure of sinus venosus atrial septal defect with anomalous pulmonary venous drainage: Innovative technique with long‐term follow‐up

The wedding cake solution: A percutaneous correction of a form fruste superior sinus venosus atrial septal defect

Single-Patch Fold-Back Technique for Augmentation of the Superior Vena Cava in Sinus Venosus Atrial Septal Defect Associated with Partial Anomalous Pulmonary Venous Return

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