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Minimally invasive periareolar approach to repair sinus venosus atrial septal defect with partial anomalous pulmonary venous connection
Author(s) -
Bozso Sabin J.,
Evans Brian,
Chu Michael W. A.
Publication year - 2020
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14591
Subject(s) - medicine , sinus venosus , cardiology , sinus (botany) , botany , biology , genus
Background and Aim Atrial septal defects with anomalous venous connections are commonly repaired via sternotomy, requiring careful baffle reconstruction to redirect pulmonary venous return and ensure a durable result. The cosmetically appealing periareolar incision may provide an esthetically superior alternative to the anterolateral minithoracotomy incision used in minimally invasive cardiac surgery. Methods We describe a patient with a sinus venosus atrial septal defect and partial anomalous pulmonary venous connection who underwent successful minimally invasive, endoscopic repair with apical vein translocation and autologous pericardial baffle reconstruction through a periareolar approach. Results Post‐operative echocardiography demonstrated excellent results with no residual shunt and a widely patent baffle and preserved biventricular function. At 1‐year post‐op, our patient has had a greatly improved quality of life and an excellent cosmetic result with normal nipple‐areolar sensation. Conclusions We believe that periareolar approaches should be considered for all adult patients with simple and complex atrial septal defects.