Early experience of transcatheter correction of superior sinus venosus atrial septal defect with partial anomalous pulmonary venous drainage

EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology
Mounir RiahiEric Rosenthal

Abstract

Superior sinus venosus atrial septal defect (SVASD) is commonly associated with partial anomalous pulmonary venous drainage (PAPVD). We aimed to describe the first series of percutaneous SVASD and PAPVD correction using a two-step simulation for procedural planning. Patients with SVASD and right PAPVD with a clinical indication for correction were selected. They underwent an ex vivo procedural simulation on a 3D-printed model followed by an in vivo simulation using balloon inflation in the targeted stent landing zone. The percutaneous procedure consisted in deploying a 10-zig custom-made covered stent in the SVC-RA junction. Five patients were referred for preprocedural evaluation and were deemed suitable for percutaneous correction. The procedure was successful in all patients with no residual interatrial shunt and successful redirection of the pulmonary venous drainage to the left atrium. At a median clinical follow-up of 8.1 months (2.6-19.8), no adverse events were noted, and all patients showed clinical improvement. During follow-up, transthoracic echocardiography and multidetector cardiac tomography in four patients or invasive angiography in one patient demonstrated a patent SVC stent, and no residual SVASD and unobstruc...Continue Reading

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Citations

Apr 9, 2020·Virchows Archiv : an International Journal of Pathology·Annalisa AngeliniUNKNOWN Association for European Cardiovascular Pathology (AECVP)
Oct 20, 2018·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Aleksander Kempny, Michael A Gatzoulis
Nov 26, 2020·Circulation. Cardiovascular Interventions·Kothandam SivakumarMonica Rajendran
May 22, 2020·The Annals of Thoracic Surgery·Elizabeth H StephensCarl L Backer
Mar 21, 2020·Journal of the American College of Cardiology·Jan Hinnerk HansenEric Rosenthal
Apr 29, 2021·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Eric RosenthalEvan M Zahn
Aug 20, 2021·Current Cardiology Reports·C BatteuxS Hascoet

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