scholarly journals A Case of Giant Right Atrium Diverticulum with Atrial Septal Defect

2021 ◽  
Vol 24 (2) ◽  
pp. E369-E371
Author(s):  
Yangming Fan ◽  
Hui Jiang ◽  
Yu Wei ◽  
Bing Zhang ◽  
Jianjun Ge
Keyword(s):  
Surgical Treatment ◽  
Atrial Septal Defect ◽  
Female Patient ◽  
Congenital Malformation ◽  
Right Atrium ◽  
Septal Defect ◽  
Pericardial Patch ◽  
Autologous Pericardial Patch ◽  
Echocardiographic Examination

Right atrium diverticulum is a rare congenital malformation. We present a previously unreported case of giant right atrium diverticulum (153 × 109 mm) in a 17-year-old female patient. Echocardiographic examination also showed an atrial septal defect (11 mm). Considering the risk of right atrium rupture, we performed femoral arteriovenous cannulation first, followed by median thoracotomy. The defect was repaired with an autologous pericardial patch. The patient recovered well after the operation, and this case is referential for surgical treatment of giant right atrium diverticulum.

scholarly journals Outcomes of Totally Endoscopic Atrial Septal Defect Closure Using a Glutaraldehyde-Treated Autologous Pericardial Patch

2017 ◽  
Vol 81 (5) ◽  
pp. 689-693 ◽  
Author(s):  
Hidefumi Nishida ◽  
Daisuke Nakatsuka ◽  
Yuji Kawano ◽  
Nobuhiko Hiraiwa ◽  
Shuichiro Takanashi ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Pericardial Patch ◽  
Defect Closure ◽  
Atrial Septal Defect Closure ◽  
Autologous Pericardial Patch

scholarly journals Severe scoliosis and percutaneous atrial septal defect closure, a word of caution

2021 ◽  
pp. 1-2
Author(s):  
Biagio Castaldi ◽  
Domenico Sirico ◽  
Giovanni Di Salvo
Keyword(s):  
Atrial Septal Defect ◽  
Female Patient ◽  
Right Atrium ◽  
Septal Defect ◽  
Defect Closure ◽  
Atrial Septal Defect Closure ◽  
Severe Scoliosis ◽  
Diaphragm Paralysis ◽  
The Right ◽  
Similar Issue

Abstract In the presence of complex septal morphology or extra-cardiac factors like severe scoliosis or diaphragm paralysis, the procedure may become more challenging, and pre-formed sheaths and devices thought to facilitate the implantation might turn into a problem to address. Similarly to Herron and Kobayashi, we have experienced a similar issue during atrial septal defect closure with Gore Cardioform atrial septal defect device® in a 12-year-old female patient with severe scoliosis. After the conformation of the locking loop and the removal of the safety cord, the Gore Cardioform atrial septal defect device prolapsed in the right atrium.

Congenital left ventricular aneurysm diagnosed with atrial septal defect

2018 ◽  
Vol 27 (5) ◽  
pp. 404-406
Author(s):  
Yasuyuki Kobayashi ◽  
Yasuhiro Kotani ◽  
Yosuke Kuroko ◽  
Sadahiko Arai ◽  
Shingo Kasahara
Keyword(s):  
Left Ventricle ◽  
Atrial Septal Defect ◽  
Right Atrium ◽  
Septal Defect ◽  
Fibrous Tissue ◽  
Left Ventricular ◽  
Left Ventricular Aneurysm ◽  
Ventricular Aneurysm ◽  
Autologous Pericardial Patch ◽  
The Right

An 8-year-old girl with no history of chest pain or exertional dyspnea was admitted for atrial septal defect closure. Transthoracic echocardiography showed a sac in the right atrium, protruding from the left ventricle. A left ventricular aneurysm was confirmed by cardiac catheterization. At surgery, the protruding saccular aneurysm arising from the left ventricle was located between the atrial septal defect and the tricuspid valve. We closed the orifice with interrupted sutures from the right atrium. The atrial septal defect was closed with an autologous pericardial patch. Histology showed the aneurysmal wall had no myocardial layer, being replaced by fibrous tissue.

Closure of Secundum Atrial Septal Defect with Autologous Right Atrial Patch: Case Report

2005 ◽  
Vol 8 (2) ◽  
pp. 96 ◽  
Author(s):  
Osman Tansel Dar�in ◽  
Alper Sami Kunt ◽  
Mehmet Halit Andac
Keyword(s):  
Atrial Septal Defect ◽  
Right Atrium ◽  
Septal Defect ◽  
Complete Recovery ◽  
Interatrial Septum ◽  
Right Atrial ◽  
Atrial Wall ◽  
Residual Shunt ◽  
Asd Closure ◽  
The Right

Background: Although various synthetic materials and pericardium have been used for atrial septal defect (ASD) closure, investigators are continuing to search for an ideal material for this procedure. We report and evaluate a case in which autologous right atrial wall tissue was used for ASD closure. Case: In this case, we closed a secundum ASD of a 22-year-old woman who also had right atrial enlargement due to the defect. After establishing standard bicaval cannulation and total cardiopulmonary bypass, we opened the right atrium with an oblique incision in a superior position to a standard incision. After examining the secundum ASD, we created a flap on the inferior rim of the atrial wall. A stay suture was stitched between the tip of the flap and the superior rim of the defect, and suturing was continued in a clockwise direction thereafter. Considering the size and shape of the defect, we incised the inferior attachment of the flap, and suturing was completed. Remnants of the flap on the inferior rim were resected, and the right atrium was closed in a similar fashion. Results: During an echocardiographic examination, neither a residual shunt nor perigraft thrombosis was seen on the interatrial septum. The patient was discharged with complete recovery. Conclusion: Autologous right atrial patch is an ideal material for ASD closure, especially in patients having a large right atrium. A complete coaptation was achieved because of the muscular nature of the right atrial tissue and its thickness, which is a closer match to the atrial septum than other materials.

Seven Years' Outcome of Simultaneous Surgical Treatment of Atrial Septal Defect and Atrial Flutter in 2 Children: Case Reports

2010 ◽  
Vol 13 (2) ◽  
pp. E105-E107
Author(s):  
Valquiria Pelisser Campagnucci ◽  
Ana Maria Rocha Pinto ◽  
Argemiro Scatolini Neto ◽  
Liane Huile Catani ◽  
Maria Lucia Bastos Passarelli ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Atrial Septal Defect ◽  
Atrial Flutter ◽  
Septal Defect ◽  
Case Reports

scholarly journals P649 Before and after: sinus venosus atrial septal defect

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
I Marco Clement ◽  
R Eiros ◽  
R Dalmau ◽  
T Lopez ◽  
G Guzman ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Left Atrium ◽  
Atrial Flutter ◽  
Superior Vena Cava ◽  
Right Atrium ◽  
Septal Defect ◽  
Superior Vena ◽  
Pulmonary Veins ◽  
Vena Cava ◽  
The Right

Abstract Introduction The diagnosis of sinus venosus atrial septal defect (SVASD) is complex and requires special imaging. Surgery is the conventional treatment; however, transcatheter repair may become an attractive option. Case report A 60 year-old woman was admitted to the cardiology department with several episodes of paroxysmal atrial flutter, atrial fibrillation and atrioventricular nodal reentrant tachycardia. She reported a 10-year history of occasional palpitations which had not been studied. A transthoracic echocardiography revealed severe right ventricle dilatation and moderate dysfunction. Right volume overload appeared to be secondary to a superior SVASD with partial anomalous pulmonary venous drainage. A transesophageal echocardiography confirmed the diagnosis revealing a large SVASD of 16x12 mm (Figure A) with left-right shunt (Qp/Qs 2,2) and two right pulmonary veins draining into the right superior vena cava. Additionally, it demonstrated coronary sinus dilatation secondary to persistent left superior vena cava. CMR and cardiac CT showed right superior and middle pulmonary veins draining into the right superior vena cava 18 mm above the septal defect (Figures B and C). After discussion in clinical session, a percutaneous approach was planned to correct the septal defect and anomalous pulmonary drainage. For this purpose, anatomical data obtained from CMR and CT was needed to plan the procedure. During the intervention two stents graft were deployed in the right superior vena cava. The distal stent was flared at the septal defect level so as to occlude it while redirecting the anomalous pulmonary venous flow to the left atrium (Figure D). Control CT confirmed the complete occlusion of the SVASD without residual communication from pulmonary veins to the right superior vena cava or the right atrium (Figure E). Anomalous right superior and middle pulmonary veins drained into the left atrium below the stents. Transthoracic echocardiographies showed progressive reduction of right atrium and ventricle dilatation. The patient also underwent successful ablation of atrial flutter and intranodal tachycardia. She is currently asymptomatic, without dyspnea or arrhythmic recurrences. Conclusions In this case, multimodality imaging played a key role in every stage of the clinical process. First, it provided the diagnosis and enabled an accurate understanding of the patient’s anatomy, particularly of the anomalous pulmonary venous connections. Secondly, it allowed a transcatheter approach by supplying essential information to guide the procedure. Finally, it assessed the effectiveness of the intervention and the improvement in cardiac hemodynamics during follow-up. Abstract P649 Figure.

Use of Mullins sheath to prevent prolapse of Gore Cardioform ASD Occluder in a child with severe scoliosis

2020 ◽  
pp. 1-3
Author(s):  
Christopher Herron ◽  
Daisuke Kobayashi
Keyword(s):  
Atrial Septal Defect ◽  
Right Atrium ◽  
Septal Defect ◽  
Device Closure ◽  
Severe Scoliosis ◽  
The Right ◽  
Transcatheter Device ◽  
Delivery Catheter

Abstract Transcatheter device closure of an atrial septal defect (ASD) may require an additional supportive technique in challenging cases. We report a 15-year-old male with moderate-sized ASD and severe scoliosis. In spite of adequate positioning of the Gore Cardioform ASD occluder, the device was pulled into the right atrium by a retrieval cord due to the acute release of strong tension between the delivery catheter and its device upon locking. This phenomenon was prevented by the use of Mullins sheath, resulting in a successful release of the device. The use of a Mullins sheath may be considered to deliver a Gore Cardioform ASD device in selected cases.

Pericardial patch for atrial septal defect closure

2000 ◽  
Vol 69 (1) ◽  
pp. 320 ◽  
Author(s):  
Carlos Ibarra-Pérez
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Pericardial Patch ◽  
Defect Closure ◽  
Atrial Septal Defect Closure

Apex sector echocardiography in evaluation of the right atrium in patients with mitral stenosis and atrial septal defect

1978 ◽  
Vol 42 (5) ◽  
pp. 733-737 ◽  
Author(s):  
Frederick G. Kushner ◽  
Wilfred Lam ◽  
Joel Morganroth
Keyword(s):  
Atrial Septal Defect ◽  
Right Atrium ◽  
Mitral Stenosis ◽  
Septal Defect ◽  
The Right

scholarly journals Surgical Treatment of Atrial Septal Defect in a Patient with Familial Antithrombin-III Deficiency

2013 ◽  
Vol 19 (4) ◽  
pp. 323-325 ◽  
Author(s):  
Tsutomu Hattori ◽  
Mitsumasa Hata ◽  
Akira Sezai ◽  
Shinji Wakui ◽  
Motomi Shiono
Keyword(s):  
Surgical Treatment ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Antithrombin Iii ◽  
Antithrombin Iii Deficiency
Sign in / Sign up

Export Citation Format

Share Document