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Una presentación tardía de un defecto del septo auricular del seno venoso

Ashwath Elangovan¹, Keshav R Patel², Sina Salehi Omran³

¹Internal Medicine, University of Rochester School of Medicine and Dentistry, Rochester, USA.

|September 4, 2025

Resumen

Los defectos del tabique sinusal venoso (TSA) son anomalías cardíacas congénitas raras. La detección temprana y la reparación quirúrgica son cruciales para controlar síntomas como la disnea y prevenir el agrandamiento del corazón derecho.

Área de la Ciencia:

Cardiología
Enfermedad cardíaca congénita
Enfermedad cardíaca congénita en adultos

Sus antecedentes:

Los defectos del tabique sinusal venoso (TSA) son anomalías cardíacas congénitas poco comunes.
Surgen de un desarrollo anormal en la unión de la aurícula derecha, la vena cava superior (VSC) y las venas pulmonares.
Estos defectos pueden conducir a la derivación de derecha a izquierda y al aumento progresivo del corazón derecho.

Objetivo del estudio:

Para presentar un caso de TEA sinusal en un paciente adulto.
Para resaltar la utilidad de diagnóstico de las modalidades avanzadas de imagen.
Para enfatizar la importancia de la intervención quirúrgica para los trastornos del síndrome de Asperger.

Principales métodos:

Presentación del caso de un hombre de 59 años con disnea y aleteo auricular.
El diagnóstico incluyó ecocardiografía transtorácica, ecocardiografía transesofágica y tomografía computarizada.
La reparación quirúrgica incluyó el cierre de ASD, el aumento de SVC y la redirección anormal del retorno venoso pulmonar.

Principales resultados:

Se confirmó el diagnóstico de ASD sinusal con múltiples retornos venosos pulmonares anómalos.
La reparación quirúrgica fue exitosa.
Los síntomas del paciente fueron tratados mediante una intervención oportuna.

Conclusiones:

En pacientes adultos que presentan síntomas relevantes, se debe considerar el desarrollo de TEA sinusal.
La imagen avanzada juega un papel vital en el diagnóstico preciso.
La reparación quirúrgica oportuna es esencial para obtener resultados favorables en la enfermedad cardíaca congénita en adultos.

Palabras clave:

Enfermedad cardíaca congénita en adultos Imágenes cardíacas avanzadas cox-labirinto recorte del apéndice auricular izquierdo Regreso venoso pulmonar anómalo parcial (papvr)Defecto del tabique sinusal venoso auricular Reparación quirúrgica de ASD

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