Left Atrial-to-Right Atrial Shunt without Atrial Septal Defect or Precordial Murmur

CHEST Journal ◽  
1982 ◽  
Vol 81 (1) ◽  
pp. 91-94
Author(s):  
Frank C. Brosius ◽  
David E. Schwartz ◽  
William L. Gleason ◽  
Barry Maron ◽  
Michael Jones ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Left Atrial ◽  
Septal Defect ◽  
Right Atrial ◽  
Atrial Shunt

Cobra head deformity of atrial septal occluder: blessing in disguise

2020 ◽  
pp. 1-2
Author(s):  
Uma Devi Karuru ◽  
Saurabh Kumar Gupta
Keyword(s):  
Atrial Septal Defect ◽  
Left Atrial ◽  
Septal Defect ◽  
Atrial Septum ◽  
Right Atrial ◽  
Septal Occluder Device ◽  
Occluder Device ◽  
The Right

Abstract It is not uncommon to have prolapse of the atrial septal occluder device despite accurate measurement of atrial septal defect and an appropriately chosen device. This is particularly a problem in cases with large atrial septal defect with absent aortic rim. Various techniques have been described for successful implantation of atrial septal occluder in such a scenario. The essence of all these techniques is to prevent prolapse of the left atrial disc through the defect while the right atrial disc is being deployed. In this brief report, we illustrate the use of cobra head deformity of the device to successfully deploy the device across the atrial septum.

scholarly journals “The Effect of Atrial Septal Defect Closure on Cardiac Volumetric Changes in Adults, Transcatheter Versus Surgical Closure, and the Outcome of Tricuspid Regurgitation, a Pilot Cmr Study”

2021 ◽  
Author(s):  
Amr Mansour Mohamed ◽  
Noha Mohamed Gamal ◽  
Alaa Nady Mohamed ◽  
Amr Ibrahiem Osman ◽  
Khaled Mohamed El-maghraby
Keyword(s):  
Atrial Septal Defect ◽  
Tricuspid Regurgitation ◽  
Left Atrial ◽  
Septal Defect ◽  
Adult Patients ◽  
Right Atrial ◽  
P Value ◽  
Surgical Closure ◽  
Significant Difference ◽  
Asd Closure

Abstract BackgroundClosure of an atrial septal defect (ASD) reduces right heart volumes by eliminating shunting while improving left ventricle (LV) filling and function due to ventricular interdependence, thereby improving symptoms. Furthermore, studies on atrial volume changes following ASD closure are paucity. Functional tricuspid regurgitation (TR) is frequently seen in adult patients with ASD as a consequence of right ventricle (RV) dilatation. Cardiac magnetic resonance (CMR) is widely accepted as the gold standard method for measuring cardiac volume and mass.ObjectiveWe aimed at studying the cardiac volumetric changes preclosure and 6 months after transcatheter and surgical closure, as well as fate of TR, using CMR analysis. MethodsWe prospectively enrolled 30 adult patients with isolated secundum ASD who were referred for ASD closure. CMR evaluates the right and left atrial volumes, as well as the ventricular end diastolic and end systolic volume indexes (EDVI and ESVI), function, the mass index, and tricuspid regurgitant fraction.ResultsRV volumes decreased in both groups when compared to baseline (P value 0.001), with the device group experiencing more reduction in volumes and improvement in RV function after closure (P 0.001). In each group, the absolute value of RV mass decreased significantly from the baseline (P value (0.001)), but with no difference between groups (P value 0.31). Improvement in functional TR occurred in both groups. LVEDVI increased significantly in both groups (P values 0.001 and 0.005, respectively), with a significant improvement in the LV mass index (P value = 0.01) and a non-significant difference in LVESVI. Only device closure resulted in an improvement in LV function (63.53 ± 3.85 versus 67.13 ± 4.34, P value =0.01). There was a significant reduction in right atrial (RA) volume (P value = 0.5), with a trend to decrease in left atrial (LA) volume but it was insignificant, with no difference between groups.ConclusionOur findings revealed that both procedures resulted in normalization of ventricular volume and reduction of RA volumes, with only the device group showing improvement in ventricular function. Functional TR improved after closure with either a device or a surgical approach.

Closure of Secundum Atrial Septal Defect with Autologous Right Atrial Patch: Case Report

2005 ◽  
Vol 8 (2) ◽  
pp. 96 ◽  
Author(s):  
Osman Tansel Dar�in ◽  
Alper Sami Kunt ◽  
Mehmet Halit Andac
Keyword(s):  
Atrial Septal Defect ◽  
Right Atrium ◽  
Septal Defect ◽  
Complete Recovery ◽  
Interatrial Septum ◽  
Right Atrial ◽  
Atrial Wall ◽  
Residual Shunt ◽  
Asd Closure ◽  
The Right

Background: Although various synthetic materials and pericardium have been used for atrial septal defect (ASD) closure, investigators are continuing to search for an ideal material for this procedure. We report and evaluate a case in which autologous right atrial wall tissue was used for ASD closure. Case: In this case, we closed a secundum ASD of a 22-year-old woman who also had right atrial enlargement due to the defect. After establishing standard bicaval cannulation and total cardiopulmonary bypass, we opened the right atrium with an oblique incision in a superior position to a standard incision. After examining the secundum ASD, we created a flap on the inferior rim of the atrial wall. A stay suture was stitched between the tip of the flap and the superior rim of the defect, and suturing was continued in a clockwise direction thereafter. Considering the size and shape of the defect, we incised the inferior attachment of the flap, and suturing was completed. Remnants of the flap on the inferior rim were resected, and the right atrium was closed in a similar fashion. Results: During an echocardiographic examination, neither a residual shunt nor perigraft thrombosis was seen on the interatrial septum. The patient was discharged with complete recovery. Conclusion: Autologous right atrial patch is an ideal material for ASD closure, especially in patients having a large right atrium. A complete coaptation was achieved because of the muscular nature of the right atrial tissue and its thickness, which is a closer match to the atrial septum than other materials.

Single-Patch Fold-Back Technique for Augmentation of the Superior Vena Cava in Sinus Venosus Atrial Septal Defect Associated with Partial Anomalous Pulmonary Venous Return

2015 ◽  
Vol 17 (6) ◽  
pp. 282
Author(s):  
Suguru Ohira ◽  
Kiyoshi Doi ◽  
Takeshi Nakamura ◽  
Hitoshi Yaku
Keyword(s):  
Atrial Septal Defect ◽  
Superior Vena Cava ◽  
Septal Defect ◽  
Venous Return ◽  
Superior Vena ◽  
Pulmonary Veins ◽  
Vena Cava ◽  
Sinus Venosus ◽  
Right Atrial ◽  
Anomalous Pulmonary Venous Return

Sinus venosus atrial septal defect (ASD) is usually associated with partial anomalous pulmonary venous return (PAPVR) of the right pulmonary veins to the superior vena cava (SVC), or to the SVC-right atrial junction. Standard procedure for repair of this defect is a patch roofing of the sinus venosus ASD and rerouting of pulmonary veins. However, the presence of SVC stenosis is a complication of this technique, and SVC augmentation is necessary in some cases. We present a simple technique for concomitant closure of sinus venosus ASD associated with PAPVR and augmentation of the SVC with a single autologous pericardial patch.

scholarly journals LEFT ATRIAL PRESSURE CORRELATION WITH PERSISTENT IATROGENIC ATRIAL SEPTAL DEFECT AFTER MITRACLIP IMPLANTATION

2021 ◽  
Vol 77 (18) ◽  
pp. 1200
Author(s):  
Prince Sethi ◽  
Nikhil Parimi ◽  
Prakash Acharya ◽  
Amandeep Goyal ◽  
Emmanuel Daon ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Left Atrial ◽  
Septal Defect ◽  
Atrial Pressure ◽  
Left Atrial Pressure ◽  
Iatrogenic Atrial Septal Defect

Evaluation of right ventricular and right atrial size in children with atrial septal defect using two-dimensional apex echocardiography

1982 ◽  
Vol 10 (8) ◽  
pp. 385-390 ◽  
Author(s):  
Gregory P. Fontana ◽  
Jason H. Kirkman ◽  
Thomas G. Disessa ◽  
Arthur D. Hagan ◽  
Satoshi Hiriashi ◽  
...  
Keyword(s):  
Right Ventricular ◽  
Atrial Septal Defect ◽  
Septal Defect ◽  
Right Atrial ◽  
Two Dimensional ◽  
Atrial Size

PP-071 RIGHT ATRIAL MASS AFTER SURGICAL REPAIR OF ATRIAL SEPTAL DEFECT: THROMBUS MASQUERADING AS A MYXOMA

2013 ◽  
Vol 163 (3) ◽  
pp. S109
Author(s):  
U.C. Yüksel ◽  
E. Yalçınkaya ◽  
U. Demirkılıç ◽  
M. Çelik ◽  
G. Erol ◽  
...  
Keyword(s):  
Atrial Septal Defect ◽  
Septal Defect ◽  
Surgical Repair ◽  
Right Atrial ◽  
Atrial Mass ◽  
Right Atrial Mass
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