[The relationship between rhythm disturbances and incisions in adult sinus venosus XXXX ].

@entity1 @entity4264 @entity3885 @entity260 @entity1817 @entity358 @entity955 @entity299 @entity118
OBJECTIVE: Sinus venosus type @entity118 (SVASD) differ from the secundum @entity118 by its location and high incidence of combination with other @entity299 , which inherently increases the risk of @entity260 . Right atriotomy is the most preferred approach for repairing the SVASD. @entity1817 or other rhythm disturbances can be observed. We compared the @entity260 between lateral cavatomy and right atriotomy in @entity1 who had SVASD. METHODS: Twenty-seven @entity1 who had SVASD (of 384 total ASDs) associated with partial @entity358 (PAPVC) underwent surgical repair during the period of January 1992 - December 2001 in G  lhane Military Medical Academy. Sinus venosus type @entity118 was repaired through right atrial incision by routine bi-caval cannulation in 14 @entity1 (Group 1) and repaired through lateral caval incision by direct caval cannulation in 13 @entity1 (Group 2). Lateral cavatomy was closed by pericardial patch in Group 2. We analyzed the relationship between incidence of rhythm disturbances and the technique in @entity1 who had SVASD with or without partial @entity358 prospectively. RESULTS: All @entity1 had a classical superior SVASD intraoperatively. Persistent @entity4264 (PLSVC) was observed in 5 @entity1 (Group 1=3 @entity1 , Group 2=2 @entity1 ). Postoperative mortality was seen in one @entity1 in Group 1 due to @entity3885 . In Group 1, one @entity1 underwent re-operation for upper and middle lobectomy of the right lung. Ambulatory Holter monitorizations were done in all @entity1 per 3 months periodically. In Group 1 @entity1817 was observed in 4 @entity1 and @entity955 was observed in 2 @entity1 , while in Group 2 only one @entity1 had @entity955 during follow-up period (p=0.037). CONCLUSION: Repair of SVASD in adult @entity1 is associated with low operative mortality and morbidity. The closure of the defect by pericardial patch is the most preferred technique but obstruction of caval veins can be seen. We suggest that posterior cavatomy can be preferred to atriotomy because of low incidence of @entity1817 and pulmonary or caval obstruction.
