Vol. 36 (2021)
Cartas científicas

Sinus venosus atrial septal defect with abnormal pulmonary venous return. Case report

Maximiliano Hernández
Centro Cardiovascular Universitario. Departamento de Cirugía Cardíaca, Hospital de Clínicas.
Martín Antelo
Centro Cardiovascular Universitario. Departamento de Cirugía Cardíaca, Hospital de Clínicas.
Juan José Paganini
Centro Cardiovascular Universitario. Departamento de Cirugía Cardíaca, Hospital de Clínicas.
Martín Chappe
Centro Cardiovascular Universitario. Departamento de Cirugía Cardíaca, Hospital de Clínicas.
Víctor Dayan
Centro Cardiovascular Universitario. Departamento de Cirugía Cardíaca, Hospital de Clínicas.
Daniel Brusich
Centro Cardiovascular Universitario. Departamento de Cirugía Cardíaca, Hospital de Clínicas.
Published 01-12-2021

Keywords:

Atrial septal defect, Superior sinus venosus, Warden technique

Abstract

Sinus venosus atrial septal defect is a low prevalence congenital heart disease, more frequently found in women, usually associated with abnormal pulmonary venous return. Transesophageal echocardiography is the most frequently used diagnostic method, and must be complemented with other imaging studies such as chest angiography or magnetic resonance. This assessment is essential to characterize the anatomical aspects that are essential for planning the corrective surgical strategy. In patients where the anomalous pulmonary venous return empties above the right atrium into the superior vena cava, the Warden surgical technique is effective, with a low incidence of complications and good longterm results.