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FASCICOLI E ARTICOLI   I PIÙ LETTI   eTOC

ULTIMO FASCICOLOTHE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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The Journal of Cardiovascular Surgery 2001 Dicembre;42(6):773-6

CARDIAC SECTION 

 CASE REPORTS

Do not underestimate atrial septal defect!

Gunay I.

From ­the Department of Cardiovascular Surgery Cumhuriyet University School of Medicine, Sivas, Turkey

Atrial sep­tal ­defect (­ASD) is ­one of ­the sim­plest cas­es ­among ­the sur­gi­cal­ly cor­rect­able con­gen­i­tal car­diac dis­eas­es. Easiness of ­the cor­rec­tion usu­al­ly caus­es under­es­ti­ma­tion of ­the pathol­o­gy. Angiography as ­well as ech­o­car­di­og­ra­phy ­might be mis­lead­ing in ­some cas­es. The pre­lim­i­nary diag­no­sis of ­the pre­sent­ed ­case ­was secun­dum ­ASD. During oper­a­tion an unusu­al ­type of par­tial anom­a­lous pul­mo­nary ­venous con­nec­tion (­PAPVC) ­was ­noticed. Pulmonary ­veins of ­the ­entire ­left ­lung ­were drain­ing to ­the ­right atri­um direct­ly. There ­was no oth­er coex­ist­ing car­diac pathol­o­gy includ­ing atri­al sep­tal ­defect. To ­our knowl­edge, ­there is no sim­i­lar ­case in ­the lit­er­a­ture. ­ASD is a ­well ­known con­gen­i­tal car­diac dis­ease. Coexisting anom­a­lies ­increase ­the sur­gi­cal impor­tance of ­the ­defect. Cardiologists ­should sus­pect ­and ­search ­for ­even ­the rar­est pathol­o­gies dur­ing pre­op­er­a­tive eval­u­a­tion to pre­vent diag­nos­tic mis­inter­pre­ta­tions ­and sur­gi­cal sur­pris­es. Trying to ­explore ­the rela­tions of car­diac cham­bers ­and ­define ­the pathol­o­gy dur­ing extra­cor­po­real cir­cu­la­tion is ­time con­sum­ing. Despite ­this, a rou­tine ­and metic­u­lous explo­ra­tion ­should ­not be neglect­ed to pre­vent unex­pect­ed ­results.

lingua: Inglese


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