ASD Treatment

Treatment
ASDs can be repaired using Standard
cardiopulmonary bypass (CPB) techniques
through a midline sternotomy approach.
Oblique atriotomy is made --> the rim of the

defect is completely visualized

Cardiopulmonary bypass (CPB)

is a technique that temporarily
takes over the function of the heart and lungs
during surgery, maintaining the circulation of
blood and the oxygen content of the body.
Treatment
Closure of ostium secundum defects:
1. primary repair
2. insertion of a patch that is sutured to the rim of the
defect
Treatment
Repair used for sinus venosus ASDs
associated with partial anomalous pulmonary
venous connection is dictated by the location of
the anomalous pulmonary veins.
Treatment
If the anomalous veins connect to the atria or to
the superior vena cava caudal to where the cava
is crossed by the right pulmonary artery:
the ASD can be repaired by inserting a patch, with
redirection of the pulmonary veins behind the patch to
the left atrium
Treatment
If the anomalous vein connects to the superior
vena cava cranial to the right pulmonary artery:
Warden procedure
Warden Procedure
In this operation, the superior vena cava is transected
cranial to the connection of the anomalous vein. The
caudal end of the transected cava is oversewn. The
cranial end of the transected cava is anastomosed to
the auricle of the right atrium. Inside the atrium, a
patch is used to redirect pulmonary venous blood flow to
the left atrium.