Modified cavoatriotomy for combined PAPVC repair and maze procedure.
In patients with partial anomalous pulmonary venous connection (PAPVC) to the superior cavoatrial junction, the standard right-sided left atriotomy does not allow sufficient access to the mitral valve and the left atrium. And the injury and traction of the sinus node and sinus node artery should be avoided for prevention of the cardiac rhythm disturbance after operation. We herein report a useful approach to repair the sinus venosus atrial septal defect with PAPVC of the right pulmonary veins to the superior cavoatrial junction in patients also requiring mitral valve replacement and the maze procedure.
Nakajima
Hiroyuki
H
Department of Cardiovascular Surgery, National Cardiovascular Center, Osaka, Japan. hnakajim@hsp.ncvc.go.jp
Uemura
Hideki
H
Kobayashi
Junjiro
J
Kagisaki
Koji
K
Yagihara
Toshikatsu
T
Kitamura
Soichiro
S
D001281:Atrial Fibrillation / Q000209:etiology / Q000601:surgery*; D006348:Cardiac Surgical Procedures / Q000379:methods; D005260:Female; D006325:Heart Atria / Q000601:surgery*; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000150:complications / Q000601:surgery; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000601:surgery*; D014683:Vena Cava, Superior / Q000601:surgery*