Minimally Invasive Approach to Correct Anomalous Inferior Vena Cava Connection to the Left Atrium. Issue 4 (July 2020)

• Record Type: Journal Article
• Authors: Pace Napoleone, Carlo; Marini, Davide; Baronetto, Andrea; Deorsola, Luca; Agnoletti, Gabriella; Rinaldi, Mauro
• Is Part Of: World journal for pediatric & congenital heart surgery. Volume 11:Issue 4(2020)
• Page Start: NP50
• Page End: NP52
• Publication Date: 2020-07
• Subjects: adult congenital heart disease -- atrial septal defect (ASD) -- anomalous venous connection -- minimally invasive surgery -- imaging (CT and echo); Pediatric cardiology -- Periodicals; Congenital heart disease in children -- Periodicals; Heart -- Abnormalities -- Surgery -- Periodicals; Heart -- Surgery -- Periodicals; Heart Defects, Congenital -- surgery -- Periodicals; Cardiac Surgical Procedures -- Periodicals; Child -- Periodicals; Adult -- Periodicals; 618.9212
• DOI: 10.1177/2150135117701406
• Languages: English
• ISSNs: 2150-1351

Abstract

Anomalous drainage of the inferior vena cava into the left atrium is a rare congenital condition. A 20-year-old girl was referred for recurrent transient ischemic attacks. Transthoracic echocardiography revealed a large ostium secundum atrial septal defect, and computed tomography showed anomalous drainage of the inferior vena cava into the left atrium. Through a right mini-thoracotomy, the opening of the inferior vena cava into the atrium was identified under the inferior edge of the interatrial septum, draining into the left atrium, and redirected to the right atrium, using a pericardial patch to reconstruct the atrial septum. Postoperative course was uneventful. Right mini-thoracotomy approach was effective in correcting the anomalous drainage of the inferior vena cava into the left atrium.