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    CASE REPORT

    Surgery for Residual Inferior Left-to-Right Atrial Shunt

    Francesco Bertelli1, Claudia Cattapan1, Alvise Guariento2, Vladimiro L. Vida1,*

    Congenital Heart Disease, Vol.16, No.1, pp. 39-43, 2021, DOI:10.32604/CHD.2021.013256

    Abstract We report the case of three female patients who were scheduled for surgical correction of residual left-to-right shunt after initial repair of sinus venosus atrial septal defect (SV-ASD) during childhood. After excluding the possibility of an hemodynamic intervention, all three patients underwent a successful surgical closure through a right mini sub-axillary approach by using total peripheral cannulation for cardiopulmonary bypass and leaving the inferior vena cava completely un-snared allowing for an optimal visualization of the residual atrial septal communication and avoiding extensive dissection of mediastinal structures. More >

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