title: Atrial septal defect associated with drainage of left superior vena cava to left atrium and absence of the coronary sinus.
abstract: Atrial septal defect associated with drainage of the left superior vena cava (LSVC) to the left atrium and absence of the coronary sinus is a rare congenital cardiac complex. Management of the LSVC during operative repair is usuall by one of three methods: (1) an intra-atrial baffle of pericardium to divery flow from the LSVC to the right arrium and to close the atrial septal defect; (2) division and reimplantation of the LSVC into the right atrium; or (3) simple ligation of the LSVC. We will present an example of this cardiac lesion for which successful repair was achieved by end-to-side anastomosis of the LSVC to the main pulmonary artery when none of the aforementioned methods for handling the LSVC was feasible.
mesh_terms: D002315:Cardiopulmonary Bypass; D002675:Child, Preschool; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006344:Heart Septal Defects, Atrial / Q000150:complications* / Q000601:surgery; D006801:Humans; D008722:Methods; D014683:Vena Cava, Superior / Q000002:abnormalities* / Q000601:surgery