Intra-atrial rerouting and maze procedure for an adult patient in cor triatriatum, persistent left superior vena cava, and atrial fibrillation.

Abstract

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.

• Authors: Koichi Sughimoto, Kozo Matsuo, Masanao Ohba
• Journal: The Annals of thoracic surgery (Ann Thorac Surg) Vol. 93 Issue 6 Pg. 2056-8 (Jun 2012) ISSN: 1552-6259 [Electronic] Netherlands
• PMID: 22632505 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2012 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.

Topics

• Atrial Fibrillation (diagnosis, surgery)
• Blood Vessel Prosthesis Implantation
• Catheter Ablation (methods)
• Combined Modality Therapy
• Cor Triatriatum (diagnosis, surgery)
• Echocardiography
• Heart Atria (pathology, surgery)
• Heart Defects, Congenital (diagnosis, surgery)
• Heart Septal Defects, Atrial (diagnosis, surgery)
• Humans
• Image Interpretation, Computer-Assisted
• Imaging, Three-Dimensional
• Male
• Middle Aged
• Pulmonary Veins (pathology, surgery)
• Tomography, X-Ray Computed
• Vena Cava, Superior (abnormalities, pathology, surgery)