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A case of atrial septal defect associated with anomalous sinoatrial node artery in pulmonary atresia with intact ventricular septum
An 11‐year‐old boy affected by pulmonary atresia with intact ventricular septum (AP‐IVS) was listed for percutaneous pulmonary valvuloplasty and closure of multi‐fenestrated atrial septal defect (ASD). Intra‐procedural transesophageal echocardiography arose the suspect of abnormal coronary artery pa...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8362194/ https://www.ncbi.nlm.nih.gov/pubmed/34028871 http://dx.doi.org/10.1111/echo.15054 |
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author | Di Candia, Angela Castaldi, Biagio Sirico, Domenico Di Salvo, Giovanni |
author_facet | Di Candia, Angela Castaldi, Biagio Sirico, Domenico Di Salvo, Giovanni |
author_sort | Di Candia, Angela |
collection | PubMed |
description | An 11‐year‐old boy affected by pulmonary atresia with intact ventricular septum (AP‐IVS) was listed for percutaneous pulmonary valvuloplasty and closure of multi‐fenestrated atrial septal defect (ASD). Intra‐procedural transesophageal echocardiography arose the suspect of abnormal coronary artery pattern while selective angiography documented a single sinoatrial node artery (SANa) with an unusual retro‐aortic course. As consequence, we proceeded to effectively close the defects with a not self‐centering device placed in the most central side hole. This case supports the hypothesis that sometimes arrhythmic complication during ASD closure procedures might be due to unrecognized injury of the SANa. |
format | Online Article Text |
id | pubmed-8362194 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-83621942021-08-17 A case of atrial septal defect associated with anomalous sinoatrial node artery in pulmonary atresia with intact ventricular septum Di Candia, Angela Castaldi, Biagio Sirico, Domenico Di Salvo, Giovanni Echocardiography Case Reports ‐ Pediatric An 11‐year‐old boy affected by pulmonary atresia with intact ventricular septum (AP‐IVS) was listed for percutaneous pulmonary valvuloplasty and closure of multi‐fenestrated atrial septal defect (ASD). Intra‐procedural transesophageal echocardiography arose the suspect of abnormal coronary artery pattern while selective angiography documented a single sinoatrial node artery (SANa) with an unusual retro‐aortic course. As consequence, we proceeded to effectively close the defects with a not self‐centering device placed in the most central side hole. This case supports the hypothesis that sometimes arrhythmic complication during ASD closure procedures might be due to unrecognized injury of the SANa. John Wiley and Sons Inc. 2021-05-24 2021-07 /pmc/articles/PMC8362194/ /pubmed/34028871 http://dx.doi.org/10.1111/echo.15054 Text en © 2021 The Authors. Echocardiography published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Reports ‐ Pediatric Di Candia, Angela Castaldi, Biagio Sirico, Domenico Di Salvo, Giovanni A case of atrial septal defect associated with anomalous sinoatrial node artery in pulmonary atresia with intact ventricular septum |
title | A case of atrial septal defect associated with anomalous sinoatrial node artery in pulmonary atresia with intact ventricular septum |
title_full | A case of atrial septal defect associated with anomalous sinoatrial node artery in pulmonary atresia with intact ventricular septum |
title_fullStr | A case of atrial septal defect associated with anomalous sinoatrial node artery in pulmonary atresia with intact ventricular septum |
title_full_unstemmed | A case of atrial septal defect associated with anomalous sinoatrial node artery in pulmonary atresia with intact ventricular septum |
title_short | A case of atrial septal defect associated with anomalous sinoatrial node artery in pulmonary atresia with intact ventricular septum |
title_sort | case of atrial septal defect associated with anomalous sinoatrial node artery in pulmonary atresia with intact ventricular septum |
topic | Case Reports ‐ Pediatric |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8362194/ https://www.ncbi.nlm.nih.gov/pubmed/34028871 http://dx.doi.org/10.1111/echo.15054 |
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