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

被引:4
作者
Moldovan, Horatiu [1 ,2 ]
Sibisan, Andra-Madalina [2 ]
Tiganasu, Robert [2 ]
Popescu, Bogdan-Stefan [2 ]
Vasile, Gabriel [1 ,2 ]
Gheorghita, Daniela [3 ]
Zaharia, Ondin [1 ,4 ]
Costache, Victor Sebastian [5 ,6 ]
Guta, Andrada [7 ]
Molnar, Adrian [8 ,9 ]
机构
[1] Carol Davila Univ Med & Pharm, Fac Med, Bucharest 014461, Romania
[2] Clin Emergency Hosp Bucharest, Bucharest 014461, Romania
[3] Politeh Univ Bucharest, Fac Mat Sci & Engn, Bucharest 060042, Romania
[4] Prof Dr Theodor Burghele Clin Hosp, Bucharest 050659, Romania
[5] Titu Maiorescu Univ, Fac Med, Bucharest 031593, Romania
[6] Sf Constantin Hosp Brasov, Brasov 500388, Romania
[7] Sanador Clin Hosp, Bucharest 010991, Romania
[8] Iuliu Hateganu Univ Med & Pharm, Cluj Napoca 400012, Romania
[9] Heart Inst, Cluj Napoca 400001, Romania
来源
MEDICINA-LITHUANIA | 2021年 / 57卷 / 09期
关键词
atrial septal defect; minimally invasive repair; atrial reconstruction; SURGICAL CLOSURE; REPAIR;
D O I
10.3390/medicina57090984
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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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页数:8
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