Is there any role for an atrial septal defect in off-loading a orderline left ventricle?

Amir-Reza Hosseinpour; Antonio González-Calle; Oliver Stümper; David J Barron

doi:10.1093/icvts/ivae216

Is there any role for an atrial septal defect in off-loading a orderline left ventricle?

Interdiscip Cardiovasc Thorac Surg. 2024 Dec 26;40(1):ivae216. doi: 10.1093/icvts/ivae216. Online ahead of print.

Authors

Amir-Reza Hosseinpour¹, Antonio González-Calle², Oliver Stümper³, David J Barron⁴

Affiliations

¹ Chief of Pediatric_Cardiac_Surgery, Lausanne University Hospital, and Associate Professor of Cardiac_Surgery, University of_Lausanne, Switzerland.
² Chief of_pediatric_cardiac_surgery, University Hospitals of Seville, Spain.
³ Senior_pediatric_cardiologist, Birmingham Children's Hospital, UK.
⁴ Division Head, cardiovascular Surgery, Hospital for Sick Children, Toronto, Director of Adult Congenital Heart Surgery, Toronto General Hospital ACHD Unit, and Professor, University of Toronto, Canada.

Abstract

A_small_ASD_with right-to-left shunt is useful for off-loading a dysfunctional right ventricle postoperatively. However, an ASD with left-to-right shunt may not be as useful for a dysfunctional left ventricle. Experimental data is limited at present. Thus, we reconsider the related physiology to guide future approach.

Keywords: ASD; atrial_septal_defect; borderline_left_ventricle; off-loading.