HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS		QUICK SEARCH:   [advanced] Author: Keyword(s): Year:  Vol:  Page:

This Article Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Citation Map Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Personal Folders Download to citation manager Permission Requests Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Russell, J. L Articles by PhD Search for Related Content PubMed PubMed Citation Articles by Russell, J. L Articles by PhD, Related Collections Congenital - acyanotic

Outcome Following Repair of Sinus Venosus Atrial Septal Defects in Children

Division of Cardiovascular and Thoracic Surgery Children’s and Women’s Health Centre of British Columbia Vancouver, British Columbia, Canada
For reprint information contact: Jacques G LeBlanc, MD Tel: 1 604 875 3165 Fax: 1 604 875 3159 email: jleblanc{at}cw.bc.ca Division of Cardiovascular and Thoracic Surgery, Children’s and Women’s Health Centre of British Columbia, 4480 Oak Street, Suite 3G63, Vancouver, British Columbia V6H 3V4, Canada.

The outcome of surgical repair of sinus venosus atrial septal defect was reviewed retrospectively. The operation was performed on 44 children aged 8 to 163 months, between April 1985 and November 1998. Median cardiopulmonary bypass and aortic crossclamp times were 58 minutes (range, 29 to 141 minutes) and 29 minutes (range, 4 to 67 minutes), respectively. Use of blood products decreased from 4.5 units per patient in the first period (1985 to 1989) to 0.6 units in the last period (1995 to 1998). Median intensive care and hospital stays were 2 days (range, 1 to 12 days) and 6 days (range, 4 to 16 days), respectively. There was 1 early death (2.3%). Complications included reexploration for bleeding in 2 patients (4.5%) and for superior vena cava obstruction in 1 (2.3%), and arrhythmias in 3 (6.8%), which required a pacemaker in one. During follow-up of 15 to 176 months, 83.8% of patients were in sinus rhythm. One required angioplasty for superior vena cava stenosis, hemodynamically insignificant residual shunt was found in 3, and mild superior vena cava stenosis in 3. Repair of sinus venosus atrial septal defect carries a low mortality and morbidity, but long-term follow-up is needed to monitor potential sinus node dysfunction and superior vena cava stenosis.

This article has been cited by other articles:

				S. Buz, V. Alexi-Meskishvili, F. Villavicencio-Lorini, M. Yigitbasi, M. Hubler, Y. Weng, F. Berger, and R. Hetzer Analysis of arrhythmias after correction of partial anomalous pulmonary venous connection. Ann. Thorac. Surg., February 1, 2009; 87(2): 580 - 583. [Abstract] [Full Text] [PDF]

				G. B. Luciani, F. Viscardi, M. Pilati, R. Crepaz, G. Faggian, and A. Mazzucco Age at Repair Affects the Very Long-Term Outcome of Sinus Venosus Defect Ann. Thorac. Surg., July 1, 2008; 86(1): 153 - 159. [Abstract] [Full Text] [PDF]

				A. Shahriari, M. D. Rodefeld, M. W. Turrentine, and J. W. Brown Caval Division Technique for Sinus Venosus Atrial Septal Defect With Partial Anomalous Pulmonary Venous Connection Ann. Thorac. Surg., January 1, 2006; 81(1): 224 - 230. [Abstract] [Full Text] [PDF]

				J. H. Nurnberg, S. Ovroutski, V. Alexi-Meskishvili, P. Ewert, R. Hetzer, and Peter. E. Lange New Onset Arrhythmias After the Extracardiac Conduit Fontan Operation Compared With the Intraatrial Lateral Tunnel Procedure: Early and Midterm Results Ann. Thorac. Surg., December 1, 2004; 78(6): 1979 - 1988. [Abstract] [Full Text] [PDF]