Atrial septal defect associated with drainage of left superior vena cava to left atrium and absence of the coronary sinus
Foster, E.D.; Baeza, O.R.; Farina, M.F.; Shaher, R.M.
Journal of Thoracic and Cardiovascular Surgery 76(5): 718-720
1978
ISSN/ISBN: 0022-5223 PMID: 703377 Document Number: 129599
Atrial septal defect associated with drainage of the left superior vena cava (LSVC) to the left atrium and absence of the coronary sinus is a rare congenital cardiac complex. Management of the LSVC during operative repair is usuall by one of three methods: (1) an intra-atrial baffle of pericardium to divery flow from the LSVC to the right arrium and to close the atrial septal defect; (2) division and reimplantation of the LSVC into the right atrium; or (3) simple ligation of the LSVC. We will present an example of this cardiac lesion for which successful repair was achieved by end-to-side anastomosis of the LSVC to the main pulmonary artery when none of the aforementioned methods for handling the LSVC was feasible.