scholarly journals Atrial flutter in a patient with atrial septal defect and anomalous venous drainage : unusual approach for ablation

2017 ◽  
Vol 5 (7) ◽  
pp. 1103-1106
Author(s):  
Ivo Roca-Luque ◽  
Nuria Rivas ◽  
Laura Dos ◽  
Jaume Francisco ◽  
Jordi Pérez-Rodon ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Atrial Flutter ◽  
Septal Defect ◽  
Venous Drainage ◽  
Anomalous Venous Drainage

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.

scholarly journals Early experience of transcatheter correction of superior sinus venosus atrial septal defect with partial anomalous pulmonary venous drainage

2018 ◽  
Vol 14 (8) ◽  
pp. 868-876 ◽  
Author(s):  
Mounir Riahi ◽  
Mari Nieves Velasco Forte ◽  
Nick Byrne ◽  
Anthony Hermuzi ◽  
Matthew Jones ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Venous Drainage ◽  
Early Experience ◽  
Sinus Venosus ◽  
Anomalous Pulmonary Venous Drainage

Transcatheter repair of superior sinus venosus atrial septal defect with partial anomalous pulmonary venous drainage with the chimney double stent technique

2019 ◽  
Vol 72 (12) ◽  
pp. 1088-1090
Author(s):  
Virginia Pascual-Tejerina ◽  
Ángel Sánchez-Recalde ◽  
José Ruiz Cantador ◽  
Emilio Cuesta López ◽  
Gorka Gómez-Ciriza ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Venous Drainage ◽  
Sinus Venosus ◽  
Anomalous Pulmonary Venous Drainage ◽  
Double Stent
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