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

Crystal, Matthew A.; Vincent, Julie A.; Gray, William A.

doi:10.1002/ccd.26031

Cited by 29 publications

(35 citation statements)

References 14 publications

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“…Echocardiography is also used during transcatheter intervention of ASD. Device closure of secundum ASD is routinely performed in the catheterization laboratory (14) but anecdotal case reports of transcatheter closure of sinus venosus and coronary sinus defects have been published (15,16).…”

Section: Hemodynamics In Isolated Asdmentioning

confidence: 99%

Hemodynamic assessment of atrial septal defects

Torres

2018

J. Thorac. Dis.

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Atrial septal defect (ASD) is one of the most common congenital cardiac anomalies. ASD can present as an isolated lesion in an otherwise normal heart or in association with other congenital heart conditions. Regardless of the type of ASD, the direction and degree of shunting across the communication is mainly determined by the difference in compliance between the right and left ventricle. Hemodynamics in children is characterized by left-to-right shunting, dilated right heart structures and normal pulmonary artery pressures (PAP). Patients diagnosed at adult age often present with complications related to longstanding volume overload such as pulmonary artery hypertension and right and left ventricular dysfunction. Diagnostic catheterization is usually not indicated unless there is suggestion of pulmonary hypertension on echocardiography. In older patients and/or in those with ventricular dysfunction, measurement of left heart pressures during temporary balloon occlusion is recommended prior to device closure as it may not be tolerated. In ASD associated with other congenital malformations, shunting degree and direction will depend upon underlying condition. Restrictive ASD can result in significant hemodynamic compromise in neonates with conditions such as hypoplastic left heart syndrome (HLHS) and transposition of the great arteries (TGA). In most cases, hemodynamics can be estimated with echocardiography only.

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Section: Hemodynamics In Isolated Asdmentioning

confidence: 99%

Hemodynamic assessment of atrial septal defects

Torres

2018

J. Thorac. Dis.

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“…In 2015, Crystal et al presented with a solution called "wedding cake", using a self-expanding covered stent. 20 These documents were the pillars of the idea that transcatheter occlusion of SVASD using covered stents was feasible. Nowadays, other authors have opted for this type of SVASD correction.…”

Section: Discussionmentioning

confidence: 99%

Transcatheter occlusion of sinus venosus atrial septal defect – a new therapeutic option?

Chamié¹,

Peralta²,

Torres³

et al. 2020

J Transcat Intervent

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“…A second in vivo simulation was undertaken using balloon inflation in the SVC in order to evaluate the patency of the RUPV during the distention of the native biological tissues. In contrast, Garg et al and Cristal et al only used intraprocedural balloon testing 5,6 , whilst Thakkar et al used 3D printing alone in a single case 10 . In another case report, Gertz et al described procedural planning using CT but it is not clear if intraprocedural balloon testing was performed before the stent implantation 7 .…”

Section: Discussionmentioning

confidence: 99%

“…It has shown favourable long-term results and was, until recently, the only treatment option for this type of lesion 3,4 . A novel transcatheter approach consisting of covering the atrial communication and directing the pulmonary venous flow to the LA by deploying a covered stent in the RSVC to right atrial (RA) junction was first described in 2014 and subsequently in a few isolated case reports [5][6][7] . In this case series, we aim to describe a reproducible and effective method for evaluation and transcatheter correction of superior sinus venosus atrial septal defects with PAPVD.…”

Section: Introductionmentioning

confidence: 99%

Early experience of transcatheter correction of superior sinus venosus atrial septal defect with partial anomalous pulmonary venous drainage

Riahi

Forte²,

Byrne³

et al. 2018

EuroIntervention

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Aims: Superior sinus venosus atrial septal defect (SVASD) is commonly associated with partial anomalous pulmonary venous drainage (PAPVD). We aimed to describe the first series of percutaneous SVASD and PAPVD correction using a two-step simulation for procedural planning.Methods and results: Patients with SVASD and right PAPVD with a clinical indication for correction were selected. They underwent an ex vivo procedural simulation on a 3D-printed model followed by an in vivo simulation using balloon inflation in the targeted stent landing zone. The percutaneous procedure consisted in deploying a 10-zig custom-made covered stent in the SVC-RA junction. Five patients were referred for preprocedural evaluation and were deemed suitable for percutaneous correction. The procedure was successful in all patients with no residual interatrial shunt and successful redirection of the pulmonary venous drainage to the left atrium. At a median clinical follow-up of 8.1 months (2.6-19.8), no adverse events were noted, and all patients showed clinical improvement. During follow-up, transthoracic echocardiography and multidetector cardiac tomography in four patients or invasive angiography in one patient demonstrated a patent SVC stent, and no residual SVASD and unobstructed PV drainage in all patients. Conclusions:In selected patients using a two-stage simulation strategy, percutaneous correction of SVASD with PAPVD is feasible and safe, and led to favourable short-term outcomes.

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

Cited by 29 publications

References 14 publications

Hemodynamic assessment of atrial septal defects

Hemodynamic assessment of atrial septal defects

Transcatheter occlusion of sinus venosus atrial septal defect – a new therapeutic option?

Early experience of transcatheter correction of superior sinus venosus atrial septal defect with partial anomalous pulmonary venous drainage

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