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Surgical Closure of Sinus Venosus Atrial Septal Defect Using A Single Patch-Transcaval Repair Technique by Trushar P. Gajjar; Channabasvaraj S. Hiremath; Neelam B. Desai is a Medicine article available to read on EtoBox.

What is Surgical Closure of Sinus Venosus Atrial Septal Defect Using A Single Patch-Transcaval Repair Technique about?

## Objective: We would like to share our experience of surgical repair of sinus venosus atrial septal defect (asd) using a simple "transcaval repair technique." ## Method: Between january 2007 and october 2010, 48 consecutive patients of sinus venosus asd underwent surgical repair using transcaval repair technique at our institute. their ages ranged from 5 to 15 years and male to female ratio was 1.6:1. the principles of the technique were longitudinal incision over the lateral aspect of superior vena cava (svc) at the entry point of anomalous right pulmonary veins, use of a single autologous untreated pericardial patch, and finally closure of the caval incision in such a way that the patch gets sandwiched between two caval lips. ## Results: All 48 patients came off cardiopulmonary bypass in sinus rhythm. the average pressure gradient across the patch was 3 mmhg. immediate postoperative electrocardiograms and echocardiograms showed all patients were in sinus rhythm with no residual shunt and no pulmonary or systemic venous obstruction respectively, except in one patient who required svc augmentation. the follow-up was done at three months (100%), one year, and two years. all patien

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Author

Trushar P. Gajjar; Channabasvaraj S. Hiremath; Neelam B. Desai

Publisher

Hindawi Limited

Published

2011

Language

EN

Field

Medicine (Health Sciences)