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

  • Suguru Ohira
  • Kiyoshi Doi
  • Takeshi Nakamura
  • Hitoshi Yaku

Abstract

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.

References

DeLeon SY, Freeman JE, Ilbawi MN. 1993. Surgical techniques in partial anomalous pulmonary veins to the superior vena cava. Ann Thorac Surg 55:1222-6.\nGajjar T, Hiremath CS, Desai NB. 2011. Surgical closure of sinus venosus atrial septal defect using a single patch-transcaval repair technique. J Card Surg 26:429-34.\nWarden HE, Gustafson RA, Tarnay TJ, Neal WA. 1984. An alternative method for repair of partial anomalous pulmonary venous connection to the superior vena cava. Ann Thorac Surg 38:601-5.\nWilliams WH, Zorn-Chelton S, Raviele AA, et al. 1984. Extracardiac atrial pedicle conduit repair of partial anomalous pulmonary venous connection to the superior vena cava in children. Ann Thorac Surg 38:345-55.\nYamagishi M, Fujiwara K, Yaku H, Wada Y, Kitamura N. 2000. Repair of partial anomalous pulmonary venous connection with a minimal atriotomy. Jpn J Thorac Cardiovascular Surg 48:370-2.\n
Published
2015-01-13
How to Cite
Ohira, S., Doi, K., Nakamura, T., & Yaku, H. (2015). 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. The Heart Surgery Forum, 17(6), E282-E284. https://doi.org/10.1532/HSF98.2014433
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Articles