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The aim is to identify an effective surgical treatment for a complex atrial septal defect and pulmonary venous anomaly.

April 1, 2026Open Access

Novel Treatment for Atrial Septal Defect without an Inferior Septal Rim and Partial Anomalous Right Lower Pulmonary Venous Connection

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The aim is to identify an effective surgical treatment for a complex atrial septal defect and pulmonary venous anomaly.
Surgical procedure conducted on a 41-year-old woman with previous unsuccessful closure.
Intraoperative diagnosis confirmed partial anomalous right lower pulmonary venous connection.
Atrial septal wall incision created a flap using the previous suture line.
Flap was repositioned to repair the defect using only the patient's own tissue.
Successful repair of the spatially complex intracardiac lesion.
Avoided complications associated with synthetic materials by using autologous tissue.

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Surgical approach repairs atrial septal defect in a woman with unique heart anatomy, suggesting effective solutions for complex cases.

Kawada et al. (2020) studied this question.

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