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Operative technique for persistent left superior vena cava draining into the left atrium
1Department of Thoracic and Cardiovascular Surgery, Wakayama Medical College, Japan.
Insights
A novel surgical technique created an internal conduit for a child with a persistent left superior vena cava draining into the left atrium. This procedure successfully addressed the complex congenital heart defect, with satisfactory short-term outcomes.
Area of Science:
- Congenital heart surgery
- Pediatric cardiology
- Cardiac anatomy
Background:
- Persistent left superior vena cava (PLSVC) is a rare congenital anomaly.
- PLSVC draining into the left atrium, associated with an atrial septal defect (ASD), presents unique surgical challenges.
- Accurate anatomical understanding is crucial for effective surgical planning.
Abstract:
We applied a surgical method with an inverted flap of the left atrial appendage to construct an internal conduit in a 4-year-old girl with a persistent left superior vena cava draining into the left atrium associated with an atrial septal defect. The remaining defect of the septum was closed with autologous pericardium. The short-term result is satisfactory, although the long-term result remains to be ascertained.