Surgery for Residual Inferior Left-to-Right Atrial Shunt

作     者：Francesco Bertelli Claudia Cattapan Alvise Guariento Vladimiro L.Vida 

作者机构：Paediatric and Congenital Cardiac Surgery UnitDepartment of CardiacThoracicVascular Sciences and Public HealthUniversity of PaduaPaduaItaly Department of Cardiovascular SurgeryThe Hospital for Sick ChildrenUniversity of TorontoTorontoCanada 

出 版 物：《Congenital Heart Disease》 (先天性心脏病（英文）)

年 卷 期：2021年第16卷第1期

页      面：39-43页

核心收录：

学科分类：1004[医学-公共卫生与预防医学(可授医学、理学学位)] 1002[医学-临床医学] 1010[医学-医学技术（可授医学、理学学位）] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 0703[理学-化学] 0702[理学-物理学] 1009[医学-特种医学] 10[医学] 

主　　题：Residual sinus venosus-ASD un-snared vena cavae minimally invasive cardiac surgery inferior ASD 

摘      要：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 *** 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.