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A case of atrial septal defect associated with anomalous sinoatrial node artery in pulmonary atresia with intact ventricular septum
  • +1
  • Angela Di Candia,
  • BIAGIO CASTALDI,
  • Domenico Sirico,
  • Giovanni Di Salvo
Angela Di Candia
University of Padua
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BIAGIO CASTALDI
University of Padova Faculty of Medicine and Surgery
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Domenico Sirico
University of Padova Faculty of Medicine and Surgery
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Giovanni Di Salvo
Second University of Naples
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Abstract

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). Intraprocedural 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.

Peer review status:UNDER REVIEW

26 Jan 2021Submitted to Echocardiography
28 Jan 2021Submission Checks Completed
28 Jan 2021Assigned to Editor
28 Jan 2021Reviewer(s) Assigned
25 Feb 2021Review(s) Completed, Editorial Evaluation Pending
27 Feb 2021Editorial Decision: Revise Minor
05 Mar 20211st Revision Received
05 Mar 2021Submission Checks Completed
05 Mar 2021Assigned to Editor
05 Mar 2021Reviewer(s) Assigned
05 Mar 2021Review(s) Completed, Editorial Evaluation Pending