scholarly journals Anomalous left hepatic vein to coronary sinus in a patient with atrial septal defect: Minimally invasive approach; technical challenges

2021 ◽  
Author(s):  
Rajesh K. Rao ◽  
R. Varadaraju ◽  
B. Girish ◽  
Naveen Singh
Keyword(s):  
Minimally Invasive ◽  
Atrial Septal Defect ◽  
Hepatic Vein ◽  
Coronary Sinus ◽  
Septal Defect ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Left Hepatic Vein ◽  
Technical Challenges

scholarly journals Anomalous left hepatic vein to coronary sinus in a patient with atrial septal defect : Minimally invasive approach ; Technical challenges

2021 ◽  
Author(s):  
Rajesh Rao ◽  
Varadraju R ◽  
Girish Basappa ◽  
Naveen Sing
Keyword(s):  
Minimally Invasive ◽  
Atrial Septal Defect ◽  
Hepatic Vein ◽  
Coronary Sinus ◽  
Septal Defect ◽  
Superior Vena ◽  
Venous Drainage ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Left Hepatic Vein

Left hepatic vein draining into coronary sinus is a rare systemic vascular anomaly. Its presence is significant when it is associated with other cardiac lesions requiring surgery. We report technical challenges in a case of persistent left superior vena cava and left hepatic vein draining into coronary sinus in an adult with ostium secundum atrial septal defect, which was repaired through minimally invasive approach. Main technical challenge in this case was to achieve adequate venous drainage, which was achieved by vacuum assistance and by manipulating the position of femoral venous cannula. We approached through right anterolateral thoracotomy, adequate venous drainage was achieved without cannulating left hepatic vein or left superior vena cav.

Minimally Invasive Approach for Valvular Surgery and Atrial Septal Defect

2016 ◽  
Vol 69 (8) ◽  
pp. 789-790
Author(s):  
Gemma Sánchez-Espín ◽  
Juan J. Otero ◽  
Emiliano A. Rodríguez ◽  
María J. Mataró ◽  
Carlos Porras ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Valvular Surgery

scholarly journals Superior Sinus Venosus Atrial Septal Defect with Partial Anomalous Pulmonary Venous Drainage—Minimally Invasive Approach—Case Report

Medicina ◽  
2021 ◽  
Vol 57 (9) ◽  
pp. 984
Author(s):  
Horațiu Moldovan ◽  
Andra-Mădălina Sibișan ◽  
Robert Țigănașu ◽  
Bogdan-Ștefan Popescu ◽  
Gabriel Vasile ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Venous Drainage ◽  
Sinus Venosus ◽  
Minimally Invasive Approach ◽  
Invasive Approach ◽  
Septal Defects ◽  
Atrial Septal Defects ◽  
Anomalous Pulmonary Venous Drainage

The atrial septal defect is, after bicuspid aortic valve disease, the most common congenital cardiac disease present in the adult population. The most common atrial septal defects are the ostium secundum type (75–80%), followed by the ostium primum type (15%). The sinus venosus atrial septal defects (SV-ASD), defined as a communication in the posterior part of the interatrial septum, account for about 5 to 10% of atrial septal defects. Approximately 90% of SV-ASDs are associated with partial anomalous pulmonary venous drainage (PAPVD). The minimally invasive approach has gained ground in the treatment of ASDs, especially those of the ostium secundum type. The sinus venosus type is a relatively uncommon form of ASD, which, when associated with a PAPVD, is considered a complex cardiac malformation, and is usually treated in a classical manner, through median sternotomy. We describe the case of a 45-year-old woman diagnosed in adolescence with SV-ASD with PAPVD, who successfully underwent minimally invasive repair with fresh autologous pericardial patch reconstruction through an anterolateral mini-thoracotomy incision. The patient presented with shortness of breath and fatigue after heavy exertions, episodes of paroxysmal nocturnal dyspnea, palpitations during effort and at rest, and had a history of syncope dating from 17 years previously. Echocardiography revealed an SV-ASD with PAPVD in the right atrium and the intraoperative examination discovered that both right pulmonary veins were draining into the superior vena cava.

scholarly journals Minimally invasive surgical repair for unroofed coronary sinus syndrome directed by three-dimensional transesophageal echocardiography

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Kazuma Handa ◽  
Shinya Fukui ◽  
Mutsunori Kitahara ◽  
Yumi Kakizawa ◽  
Hiroyuki Nishi
Keyword(s):  
Minimally Invasive ◽  
Transesophageal Echocardiography ◽  
Coronary Sinus ◽  
Three Dimensional ◽  
Mitral Insufficiency ◽  
Minimally Invasive Approach ◽  
Residual Shunt ◽  
Invasive Approach ◽  
Unroofed Coronary Sinus ◽  
Unroofed Coronary Sinus Syndrome

Abstract Background The recent remarkable development of cardiac imaging technology for unroofed coronary sinus syndrome has led to accurate preoperative diagnosis. We report a case of unroofed coronary sinus syndrome repaired via a minimally invasive approach, under the excellent command of three-dimensional transesophageal echocardiography. Case presentation A 77-year-old woman with hypertension was admitted for aggravation of bilateral leg edema and diagnosed with type III unroofed coronary sinus syndrome with Qp/Qs ratio of 1.6:1. The unroofed portion was detected at the atrial side between P2 and P3 of posterior mitral leaflet by preoperative three-dimensional transesophageal echocardiography. Right minithoracotomy was performed at the fourth intercostal space and cardiopulmonary bypass routinely established. Right atriotomy and left atriotomy incisions were made under antegrade cardioplegic arrest. The unroofed portion was revealed at the same location by preoperative transesophageal echocardiography and was clearly recognized only by endoscopy, not by direct vision. It was repaired by direct running suture under endoscopic visualization. We observed no blood cardioplegia leakage or mitral insufficiency, which was also confirmed by postoperative transesophageal echocardiography. The patient’s postoperative course was uneventful and she was discharged home 14 days after surgery without any residual shunt. Conclusions Successful repair of unroofed coronary sinus syndrome was safely and effectively achieved by a minimally invasive approach supported by preoperative three-dimensional transesophageal echocardiography.

Minimally Invasive Approach for Wilms Tumor Treatment in a Small Child - A Case Report

Urology ◽  
2020 ◽  
Author(s):  
Alexandre Azevedo Ziomkowski ◽  
João Rafael Silva Simões Estrela ◽  
Nilo Jorge Carvalho Leão Barretto ◽  
Nilo César Leão Barretto
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Wilms Tumor ◽  
Small Child ◽  
Tumor Treatment ◽  
Minimally Invasive Approach ◽  
Invasive Approach

A Minimally Invasive Approach for Treatment of Cholesterol Granuloma of the Petrous Apex

2019 ◽  
Author(s):  
Brandon Lucke-Wold ◽  
Maya Fleseriu ◽  
Haley Calcagno ◽  
Timothy Smith ◽  
Joshua Levy ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Petrous Apex ◽  
Cholesterol Granuloma ◽  
Minimally Invasive Approach ◽  
Invasive Approach
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