TY  - EJOU
AU  - Bertelli, Francesco 
AU  - Cattapan, Claudia 
AU  - Guariento, Alvise 
AU  - Vida, Vladimiro L. 

TI  - Surgery for Residual Inferior Left-to-Right Atrial Shunt
T2  - Structural and Congenital Heart Disease

PY  - 2021
VL  - 16
IS  - 1
SN  - 3071-1738

AB  - 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.
KW  - Residual sinus venosus-ASD; un-snared vena cavae; minimally invasive cardiac surgery; inferior ASD

DO  - 10.32604/CHD.2021.013256