Residual Right-to-Left Shunt Following Repair of Atrial Septal Defect

Susan J. Desnick, William A. Neal, Demetre M. Nicoloff, James H Moller

Research output: Contribution to journalArticlepeer-review

28 Scopus citations


Information about 5 patients with residual right-to-left shunts following repair of an atrial septal defect is presented. In each patient the defect was located low in the atrial septum adjacent to the inferior vena cava. During operation, either the eustachian valve of the inferior vena cava had been mistaken for the lower margin of the defect or the lower portion of the defect was not closed; blood flow was then diverted from the inferior vena cava into the left atrium. To prevent this occurrence, the inferior margin of the atrial septal defect should be closed first.

Original languageEnglish (US)
Pages (from-to)291-295
Number of pages5
JournalAnnals of Thoracic Surgery
Issue number4
StatePublished - 1976

Bibliographical note

Funding Information:
Supported by the Dwan Family Fund.


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