Aberrant Right Subclavian Artery with Atrial Septal Defect: Simultaneous Repair via Median Sternotomy

ConclusionWe believe that the best exposure for the correction of aberrant right subclavian artery is via a median sternotomy, especially in pediatric patients associated with other cardiac anomalies.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research

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Robotic minimally invasive direct coronary artery bypass is the most common robotic coronary procedure performed worldwide. It can be used to treat isolated left anterior descending (LAD) stenosis or can be coupled with percutaneous coronary intervention to diseased non-LAD targets in patients with multivessel disease. Virtually all types of mitral valve repair can be performed using the robot; valve replacement can also be undertaken. The robot can be used to repair atrial septal defects and resect cardiac myxoma. Increased cost of the robotic procedure may be offset by fewer perioperative complications, shorter hospital ...
Source: Surgical Clinics of North America - Category: Surgery Authors: Source Type: research
AbstractTranscatheter closure of large atrial septal defects (ASDs) remains controversial. The aim of this study was to evaluate the feasibility and safety of transthoracic echocardiography (TTE)-guided transcatheter closure of large ASDs. Patients with large secundum ASDs ( ≥ 30 mm) who underwent device closure were retrospectively reviewed. TTE was performed to guide ASD occluder positioning and assess the immediate and long-term outcomes. A total of 60 patients (median age 43.5 years, range 15–78 years) were enrolled in the study. The median ASD size was 35  mm (range 30–42 ...
Source: Pediatric Cardiology - Category: Cardiology Source Type: research
AbstractA 58 ‐year‐old woman was referred to our hospital with progressively increasing breathlessness. She reported a history of bioprosthetic valve implantation for tricuspid valve replacement and direct closure of an atrial septal defect for Ebstein's anomaly, 31 years before presentation. Transthoracic e chocardiography revealed prosthetic valve failure, an enlarged coronary sinus, and severe mitral regurgitation. Computed tomography revealed a giant coronary sinus with thrombosis and persistent left superior vena cava. She underwent successful mitral and tricuspid valve replacement; however, severe hemodynamic det...
Source: Journal of Cardiac Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: CASE REPORT Source Type: research
Purpose of review The purpose of this review is to discuss the history and current state of transcutaneous device closure of ventricular septal defects. Recent findings Newer devices and techniques have expanded the role of transcutaneous device closure of ventricular septal defects. Device closure of ventricular septal defects is a mainstay of therapy in many parts of the world. Device closure in smaller infants has relatively higher risks than larger infants and older children. The potential for the development of complete heart block remains a concern with this procedure. Summary Transcutaneous device closure of...
Source: Current Opinion in Cardiology - Category: Cardiology Tags: PEDIATRICS: Edited by Mitchell Cohen Source Type: research
In patients with significant heart failure or refractory arrhythmias, left ventricular assist devices can be used to provide procedural stability during ventricular tachycardia (VT) ablation. Percutaneous right ventricular assist devices (pRVADs) are also available, but their use to assist in VT ablation has not been reported in patients with significant right ventricular cardiomyopathies. Aguilar et  al (DOI: https://doi.org/10.1016/j.hrcr.2019.10.019) shared a case of a 71-year-old man with late surgical repair of a sinus venosus atrial septal defect and severe right ventricular dilatation with moderate systolic dys...
Source: Heart Rhythm - Category: Cardiology Authors: Tags: Ep News Source Type: research
AbstractCongenital right atrial aneurysm is a rare condition. Here we reported a 16 ‐year‐old male with giant right atrial aneurysm, atrial fibrillation, and atrial septal defect. Surgical resection of extensive right atrium, ASD repair, and maze procedure were performed. In the present case, we found extensive enlargement of right atrium protruding to the apex on the surface o f the right ventricle. With the exist of atrial fibrillation, thrombus formation was always a lethal threat. Surgical treatment can provide excellent clinical results and further avoided life‐threatening complications.
Source: Journal of Cardiac Surgery - Category: Cardiovascular & Thoracic Surgery Authors: Tags: IMAGES IN CARDIAC SURGERY Source Type: research
This report is the first instance in which a patient with severe PAH, survived a successful atrial septal defect (ASD) repair and bilateral lung transplantation during puerperium. Patient concerns: A 42-year-old pregnant woman with congenital heart disease (CHD) and severe PAH was admitted to our hospital for the management of pregnancy and delivery. The patient was diagnosed with severe PAH in 2013, and no significant improvements or deteriorations were found until this pregnancy-related hospital admission. Diagnosis: The patient was diagnosed with CHD and severe PAH in 2013 with color Doppler echocardiography, righ...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
Publication date: Available online 3 October 2019Source: Respiratory Medicine Case ReportsAuthor(s): Colin M. Kenny, Caroline E. Murphy, Lindsay Clough, Deptmer Ashley, Emilio FentanesAbstractPlatypnea-orthodeoxia syndrome is a rare cause of dyspnea, which presents upon standing and resolves when supine. Etiology is multifactorial with a functional component and an anatomical shunt. The most commonly reported shunt is an atrial septal defect, however a shunt can occur in advanced hepatic or pulmonary disease. Treatment is dependent on the type and location of the shunt. In atrial septal defects percutaneous repair is prefe...
Source: Respiratory Medicine Case Reports - Category: Respiratory Medicine Source Type: research
We present a patient with severe TR who underwent transcatheter tricuspid valve repair (TTVR) using the MitraClip system, with the development of LR shunt through an iatrogenic ASD. Provisional occlusion of ASD after TTVR should be considered in patients with residual LR shunt and iatrogenic ASD. PMID: 31567118 [PubMed - in process]
Source: The Journal of Invasive Cardiology - Category: Cardiology Tags: J Invasive Cardiol Source Type: research
Publication date: Available online 14 September 2019Source: The Annals of Thoracic SurgeryAuthor(s): Matthew S. Yong, Igor E. Konstantinov
Source: The Annals of Thoracic Surgery - Category: Cardiovascular & Thoracic Surgery Source Type: research
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