Outcomes of inferior sinus venosus defect repair

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Presentation transcript:

Outcomes of inferior sinus venosus defect repair Puja Banka, MD, Emile Bacha, MD, Andrew J. Powell, MD, Oscar J. Benavidez, MD, Tal Geva, MD The Journal of Thoracic and Cardiovascular Surgery Volume 142, Issue 3, Pages 517-522 (September 2011) DOI: 10.1016/j.jtcvs.2011.01.031 Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Atrial septal anatomy: location and appearance of ISVD. A, Wax model of a normal heart with the sinus venosus septum marked by white arrowheads. B, Echocardiographic 2-dimensional and color Doppler images in a subcostal long-axis plane (top) show the typical appearance of an ISVD (star) and, in a subcostal short-axis plane, (bottom) demonstrate an intact fossa ovale and septum primum (arrow) in the same patient. CS, Coronary sinus; EV, eustachian valve; FO, fossa ovale; IVC, inferior vena cava; LA, left atrium; RLPV, right lower pulmonary vein; RPV, right pulmonary vein; SLB, superior limbic band; SVC, superior vena cava. The Journal of Thoracic and Cardiovascular Surgery 2011 142, 517-522DOI: (10.1016/j.jtcvs.2011.01.031) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Technical outcome score: effect of preoperative diagnosis comparison of technical outcome scores between ISVDs correctly or incorrectly diagnosed before surgery and secundum ASDs. Technical outcome score: optimal = no residual shunt; adequate = small (<3 mm) residual shunt; inadequate = significant (>3 mm) residual shunt or need for reintervention. ASD, Atrial septal defect; ISVD, inferior sinus venosus defect. The Journal of Thoracic and Cardiovascular Surgery 2011 142, 517-522DOI: (10.1016/j.jtcvs.2011.01.031) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Surgical repair: total cardiopulmonary bypass and crossclamp times. Comparison of total cardiopulmonary bypass and crossclamp times during surgical repair of ISVDs versus secundum ASDs. The Journal of Thoracic and Cardiovascular Surgery 2011 142, 517-522DOI: (10.1016/j.jtcvs.2011.01.031) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Surgical repair of ISVDs. Intraoperative photograph of an ISVD showing an intact fossa ovale with a suction catheter through the defect (arrow). The inferior vena cava cannula is placed caudally to allow complete visualization of the defect margins. CS, Coronary sinus; FO, fossa ovale. The Journal of Thoracic and Cardiovascular Surgery 2011 142, 517-522DOI: (10.1016/j.jtcvs.2011.01.031) Copyright © 2011 The American Association for Thoracic Surgery Terms and Conditions