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Sinus Venosus ASDs: Imaging and Percutaneous Closure

  • Structural Heart Disease (RJ Siegel and NC Wunderlich, Section Editors)
  • Published:
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Abstract

Purpose of the review

Percutaneous closure of sinus venosus atrial septal defects (ASD) using covered stent implantation is a new and promising minimally invasive technique. New imaging tools are used to ensure preoperative anatomical characterization and preoperative guidance, which are key procedural success factors. Here we will describe and analyze these recent developments.

Recent findings

Sinus venosus ASDs present a wide variety of anatomical features which must be described and analyzed using various imaging tools, including 3D technology. Percutaneous closure is challenging, but can hasten clinical recovery compared to the gold-standard conventional open-heart surgery. The feasibility of percutaneous closure relies on precise preoperative anatomical study and on real-time guidance using a multimodal fusion imaging process.

Summary

Three-dimensional modeling of sinus venosus ASD is essential to understand the large anatomical panel encountered in this pathology. Multimodal fusion imaging guidance is very useful for performing sinus venosus ASD percutaneous closure in selected patients.

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Authors and Affiliations

  1. Hôpital Marie Lannelongue, Cardiologie congénitale, chirurgie cardiaque congénitale et cardiologie interventionnelle, Centre de référence M3C cardiopathies congénitales complexes, Groupe Hospitalier Paris Saint Joseph, Paris Saclay University, Le Plessis Robinson, France

    C. Batteux, A. Azarine, J Petit, V. Ciobotaru, P. Brenot & S. Hascoet

  2. Centre Hospitalo-Universitaire de Toulouse. Service de cardiologie pédiatrique et congénitale. Institut des Maladies Métaboliques et Cardiovasculaires, Université de Toulouse, INSERM U1048, I2MC, Toulouse, France

    C. Karsenty

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Correspondence to C. Batteux.

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Supplementary Information

Video 1

3D STL model of sinus venosus ASD. Percutaneous closure simulation using an STL model of a covered stent. The stent length and diameter are virtually modified in order to determine the optimal stent size tailored to each patient (Meshmixer software, Autodesk, CA, USA). (MP4 28594 kb)

Video 2

Multimodal fusion imaging guidance during percutaneous closure procedure. Beginning: Stent deployment using fusion between CT and fluoroscopy (VesselNavigator, Philips, Amsterdam, Netherlands). End: Pulmonary vein control after stent deployment using fusion between TEE and fluoroscopy (EchoNavigator, Philips, Amsterdam, Netherlands). (MP4 54359 kb)

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Batteux, C., Azarine, A., Karsenty, C. et al. Sinus Venosus ASDs: Imaging and Percutaneous Closure. Curr Cardiol Rep 23, 138 (2021). https://doi.org/10.1007/s11886-021-01571-7

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  • DOI: https://doi.org/10.1007/s11886-021-01571-7

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