Hostname: page-component-8448b6f56d-42gr6 Total loading time: 0 Render date: 2024-04-25T04:40:12.933Z Has data issue: false hasContentIssue false
  • English
  • Français

Atrial septal defect repair by inversion of a juxtaposed left atrial appendage

Published online by Cambridge University Press:  23 June 2011

Nicholas D. Andersen ,
Jay D. Pal  and
Andrew J. Lodge
Nicholas D. Andersen
Affiliation:
Division of Thoracic and Cardiovascular Surgery, Duke University Medical Center, Durham, North Carolina, United States of America
Jay D. Pal
Affiliation:
Division of Thoracic and Cardiovascular Surgery, Duke University Medical Center, Durham, North Carolina, United States of America
Andrew J. Lodge*
Affiliation:
Division of Thoracic and Cardiovascular Surgery, Duke University Medical Center, Durham, North Carolina, United States of America
*
Correspondence to: Dr A. J. Lodge, MD, Division of Thoracic and Cardiovascular Surgery, Duke University Medical Center, Box 3340, Durham, NC 27710, USA. Tel: +1 919 681 2343; Fax: +1 919 681 4907; E-mail: andrew.lodge@duke.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

A 7-year-old child was noted to have dextrojuxtaposition of the left atrial appendage at the time of surgical atrial septal defect repair. Given the favourable anatomic location and size of the atrial appendage, it was inverted and used to close the atrial defect. This is the first report of atrial septal defect repair using a juxtaposed atrial appendage. The cardiac anatomy and theoretical benefits of this repair are discussed.

Keywords

Congenital cardiac diseasecardiac surgeryanatomy
Type
Brief Reports
Information
Cardiology in the Young , Volume 22 , Issue 1 , February 2012 , pp. 103 - 105
Copyright
Copyright © Cambridge University Press 2011

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Chauvaud, S, Bouchard, F, Guibourg, P, Dubost, C. Right juxtaposition of the atrial appendages. A case without cono-truncal anomaly. J Cardiovasc Surg (Torino) 1982; 23: 175–178.Google ScholarPubMed
2. Van Praagh, S, O'Sullivan, J, Brili, S, Van Praagh, R. Juxtaposition of the morphologically left atrial appendage in solitus and inversus atria: a study of 18 postmortem cases. Am Heart J 1996; 132: 391–402.CrossRefGoogle Scholar
3. Lai, WW, Ravishankar, C, Gross, RP, et al. Juxtaposition of the atrial appendages: a clinical series of 22 patients. Pediatr Cardiol 2001; 22: 121–127.CrossRefGoogle ScholarPubMed
4. Anjos, RT, Ho, SY, Anderson, RH. Surgical implications of juxtaposition of the atrial appendages: a review of forty-nine autopsied hearts. J Thorac Cardiovasc Surg 1990; 99: 897–904.CrossRefGoogle ScholarPubMed
5. Sharma, S, Devine, W, Anderson, RH, Zuberbuhler, JR. The determination of atrial arrangement by examination of appendage morphology in 1842 heart specimens. Br Heart J 1988; 60: 227–231.CrossRefGoogle ScholarPubMed
6. Butera, G, Romagnoli, E, Carminati, M, et al. Treatment of isolated secundum atrial septal defects: impact of age and defect morphology in 1013 consecutive patients. Am Heart J 2008; 156: 706–712.CrossRefGoogle Scholar
7. Talwar, S, Choudhary, SK, Mathur, A, Kumar, AS. Autologous right atrial wall patch for closure of atrial septal defects. Ann Thorac Surg 2007; 84: 913–916.CrossRefGoogle ScholarPubMed
8. Di Eusanio, M, Schepens, MA. Left atrial thrombus on a teflon patch for ASD closure. Eur J Cardiothorac Surg 2002; 21: 542.CrossRefGoogle ScholarPubMed
9. Vaideeswar, P, Mishra, P, Nimbalkar, M. Infective endocarditis of the dacron patch – a report of 13 cases at autopsy. Cardiovasc Pathol 2010, 1 September [Epub ahead of print].Google Scholar