Atrial septal defect sinus venosus: Difference between revisions
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'''2)''' In presence of [[partial anomalous pulmonary venous return]] ([[pulmonary veins]] draining into the [[right atrium]] instead of the [[left atrium]]), [[atrial septal defect]] should be corrected by placement of patch over the defect. In larger defects, it is essential to ensure the usage of a synthetic patch to be placed strategically, to allow [[Total anomalous pulmonary venous connection|anomalous pulmonary venous drainage]], to be diverted to the [[left atrium]]. | '''2)''' In presence of [[partial anomalous pulmonary venous return]] ([[pulmonary veins]] draining into the [[right atrium]] instead of the [[left atrium]]), [[atrial septal defect]] should be corrected by placement of patch over the defect. In larger defects, it is essential to ensure the usage of a synthetic patch to be placed strategically, to allow [[Total anomalous pulmonary venous connection|anomalous pulmonary venous drainage]], to be diverted to the [[left atrium]]. | ||
'''3)''' In this case, [[Total anomalous pulmonary venous connection|anomalous pulmonary venous drainage]] must be carefully monitored and assessed as compromise of pulmonary venous return due to redirection could lead to [[Pulmonary hypertension|pulmonary venous hypertension | '''3)''' In this case, [[Total anomalous pulmonary venous connection|anomalous pulmonary venous drainage]] must be carefully monitored and assessed as compromise of pulmonary venous return due to redirection could lead to [[Pulmonary hypertension|pulmonary venous hypertension]] | ||
==[[Atrial septal defect prognosis|Prognosis]]== | ==[[Atrial septal defect prognosis|Prognosis]]== | ||
Revision as of 22:52, 17 October 2012
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Atrial Septal Defect Microchapters | |
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Treatment | |
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Surgery | |
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Special Scenarios | |
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Case Studies | |
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Atrial septal defect sinus venosus On the Web | |
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American Roentgen Ray Society Images of Atrial septal defect sinus venosus | |
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Risk calculators and risk factors for Atrial septal defect sinus venosus | |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [2]; Cafer Zorkun, M.D., Ph.D. [3] Assistant Editor(s)-In-Chief: Kristin Feeney, B.S. [4]
Overview
During fetal development, the septal wall may fail to fuse causing an atrial septal defect to arise. A sinus venosus atrial septal defect is one such type of malformation arising from the irregular development of the septum and the superior vena cava or the inferior vena cava.
Anatomy
Echocardiography
Medical Therapy
Indications for Surgical Repair
Surgical Closure
1) Sinus venosus ASD is commonly found to be associated with partial anomalous pulmonary venous return.
2) In presence of partial anomalous pulmonary venous return (pulmonary veins draining into the right atrium instead of the left atrium), atrial septal defect should be corrected by placement of patch over the defect. In larger defects, it is essential to ensure the usage of a synthetic patch to be placed strategically, to allow anomalous pulmonary venous drainage, to be diverted to the left atrium.
3) In this case, anomalous pulmonary venous drainage must be carefully monitored and assessed as compromise of pulmonary venous return due to redirection could lead to pulmonary venous hypertension
Prognosis
1) Good post-surgical prognosis irrespective of the patient's age at surgery.
2) Surgery for sinus venosus ASD is complex compared to other atrial septal defect and can cause stenosis of the superior vena cava or pulmonary veins, residual shunting and SA node dysfunction.