Intra-atrial rerouting and maze procedure for an adult patient in cor triatriatum, persistent left superior vena cava, and atrial fibrillation.
A combination of cor triatriatum and persistent left superior vena cava without communication to the coronary sinus is uncommon. A 62-year-old male with this diagnosis in conjunction with atrial fibrillation underwent successful intracardiac repair done with a unique method. After a maze procedure and enlargement of the route from the pulmonary veins to the mitral valve, a GoreTex graft was used to reroute the left superior vena cava into the right atrium and to close two thirds of the circumference of the patient's atrial septal defect; the rest of the defect was closed with another GoreTex patch.
Department of Cardiovascular Surgery, Tokyo Women's Medical University, Tokyo, Japan. ksughimoto@yahoo.co.jp
Koichi
K
Sughimoto
Kozo
K
Matsuo
Masanao
M
Ohba
D001281:Atrial Fibrillation / Q000175:diagnosis / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D017115:Catheter Ablation / Q000379:methods*; D003131:Combined Modality Therapy; D003310:Cor Triatriatum / Q000175:diagnosis / Q000601:surgery*; D004452:Echocardiography; D006325:Heart Atria / Q000473:pathology / Q000601:surgery; D006330:Heart Defects, Congenital / Q000175:diagnosis / Q000601:surgery*; D006344:Heart Septal Defects, Atrial / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007090:Image Interpretation, Computer-Assisted; D021621:Imaging, Three-Dimensional; D008297:Male; D008875:Middle Aged; D011667:Pulmonary Veins / Q000473:pathology / Q000601:surgery; D014057:Tomography, X-Ray Computed; D014683:Vena Cava, Superior / Q000002:abnormalities* / Q000473:pathology / Q000601:surgery*