By Antonio F. Corno MD, FRCS, FETCS (auth.)
Expressly created to help with choice making for surgery of congenital middle defects, this new reference covers all appropriate aspects.
The congenital middle defects are provided with every one bankruptcy dedicated to a unmarried malformation, with occurrence, morphology, linked anomalies, pathophysiology, analysis (including scientific development, electrocardiogram, chest X-ray, echocardiogram, cardiac catheterization with angiography), symptoms for surgical procedure, info of surgical operation, capability issues and literature references.
Morphology, pathophysiology and surgical procedure of the defects are defined with schematic drawings, whereas photos taken from morphologic specimens, echocardiographic and angiographic investigations in addition to from intra-operative photos illustrate larger than any phrases the most important issues of the decision-making strategy for the surgical operation of congenital center defects.
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Additional info for Congenital Heart Defects: Decision Making for Cardiac Surgery Volume 1 Common Defects
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Br Heart J 16:423 Chiu IS, Hegerty A, Anderson RH, de Leval MR (1985) The landmarks to the atrioventricular conduction system in hearts with absence or unroofing of the coronary sinus. J Thorac Cardiovasc Surg 90:297 De Leval MR, Ritter DG, McGoon DC, Danielson GK (1975) Anomalous systemic venous connection: surgical considerations. Mayo Clin Proc 50:599 Hahm JK, Park YW, Lee JK, Choi JY, Sui JH, Lee SK, Cho BK, Choe KO (2000) Magnetic resonance imaging of unroofed coronary sinus: three cases. Pediatr Cardiol 21:382-387 Miraldi F, di Gioia CR, Proietti P, de Santis M, d'Amati G, Gallo P (2002) Cardinal vein isomerism: an embryological hypothesis to explain a I persistent left superior vena cava draining into the roof of the left atrium in the absence of coronary sinus and atrial septal defect.
PierreGuy Chassot) Fig. 2. Unroofed coronary sinus: angiography. Contrast injection showing the persistent left superior vena cava draining into the left atrium (LA left atrium, PLSVC persistent left superior vena cava) Simple ligation of the persistent left superior vena cava (without cardiopulmonary bypass) has been reported in the past, in the presence of an innominate vein, but it cannot be recommended because of the risk of potential venous engorgement, facial edema and chylothorax. Surgical repair can be accomplished with two techniques: I complete excision of the entire atrial septum except for a rim of the anterior limbus, in order to preserve the conduction system, followed by suture of a pericardia!
I Morphology I Pathophysiology Complete form: the common wall between the coronary sinus and the left atrium (roof of the coronary sinus) is totally absent. Partial form: an opening is present in the midportion of the wall between the coronary sinus and the left atrium (also called biatrial opening of coronary sinus, or coronary sinus to left atrial fenestration). Right-to-left shunt at atrial level. In the presence of a persistent left superior vena cava, however, cyanosis may be mild or severe depending on the degree of right-to-left shunt.