title: Role of intraoperative echocardiography in surgical correction of the superior sinus venosus atrial septal defect.
abstract: Superior type of sinus venosus atrial septal defect (SVASD) is invariably associated with the unroofing of right upper pulmonary vein (RUPV). Warden procedure and pericardial patch repair with rerouting of the RUPV are commonly performed operations for the superior SVASD. Both operations involve the risk of obstruction to the flow of superior vena cava or rerouted pulmonary vein in the postoperative period. The sinus venosus defects are well visualized on the transesophageal echocardiography (TEE) because of the proximity of the TEE probe to these structures. We are reporting two cases operated for the superior SVASD with unroofed RUPV, highlighting the intraoperative echocardiographic features before and after the surgery.
authors.affiliation: Department of Anaesthesia, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India. shri@sctimst.ac.in
authors.forename: Shrinivas
authors.initials: S
authors.lastname: Gadhinglajkar
authors.forename: Rupa
authors.initials: R
authors.lastname: Sreedhar
authors.forename: K
authors.initials: K
authors.lastname: Jayakumar
authors.forename: Manoranjan
authors.initials: M
authors.lastname: Misra
authors.forename: S
authors.initials: S
authors.lastname: Ganesh
authors.forename: Thomas
authors.initials: T
authors.lastname: Mathew
mesh_terms: D002675:Child, Preschool; D017548:Echocardiography, Transesophageal; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D016343:Monitoring, Intraoperative; D014683:Vena Cava, Superior / Q000002:abnormalities*