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Atrial septal defect repair by inversion of a juxtaposed left atrial appendage

Published online by Cambridge University Press:  23 June 2011

Nicholas D. Andersen
Affiliation:
Division of Thoracic and Cardiovascular Surgery, Duke University Medical Center, Durham, North Carolina, United States of America
Jay D. Pal
Affiliation:
Division of Thoracic and Cardiovascular Surgery, Duke University Medical Center, Durham, North Carolina, United States of America
Andrew J. Lodge*
Affiliation:
Division of Thoracic and Cardiovascular Surgery, Duke University Medical Center, Durham, North Carolina, United States of America
*
Correspondence to: Dr A. J. Lodge, MD, Division of Thoracic and Cardiovascular Surgery, Duke University Medical Center, Box 3340, Durham, NC 27710, USA. Tel: +1 919 681 2343; Fax: +1 919 681 4907; E-mail: [email protected]

Abstract

A 7-year-old child was noted to have dextrojuxtaposition of the left atrial appendage at the time of surgical atrial septal defect repair. Given the favourable anatomic location and size of the atrial appendage, it was inverted and used to close the atrial defect. This is the first report of atrial septal defect repair using a juxtaposed atrial appendage. The cardiac anatomy and theoretical benefits of this repair are discussed.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2011

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