Video 3_Case Report: Thoracoscopic repair of a residual inferior sinus venosus-type defect with right lower pulmonary vein–inferior vena cava communication: intraoperative support using real-time 3D transesophageal echocardiography.mp4

Background<p>Residual venous defects after atrial septal defect (ASD) repair may remain asymptomatic for years and can be misinterpreted as partial anomalous pulmonary venous return. Accurate intraoperative imaging is essential to confirm the anatomy and guide repair, particularly in minimally...

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Main Author: Tianzong Li (4803252) (author)
Other Authors: Yiran Luo (18888278) (author), Qin Liang (1338441) (author), Kui Hu (631225) (author), Chao Wang (146527) (author)
Published: 2025
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author Tianzong Li (4803252)
author2 Yiran Luo (18888278)
Qin Liang (1338441)
Kui Hu (631225)
Chao Wang (146527)
author2_role author
author
author
author
author_facet Tianzong Li (4803252)
Yiran Luo (18888278)
Qin Liang (1338441)
Kui Hu (631225)
Chao Wang (146527)
author_role author
dc.creator.none.fl_str_mv Tianzong Li (4803252)
Yiran Luo (18888278)
Qin Liang (1338441)
Kui Hu (631225)
Chao Wang (146527)
dc.date.none.fl_str_mv 2025-05-13T05:19:13Z
dc.identifier.none.fl_str_mv 10.3389/fcvm.2025.1568703.s003
dc.relation.none.fl_str_mv https://figshare.com/articles/media/Video_3_Case_Report_Thoracoscopic_repair_of_a_residual_inferior_sinus_venosus-type_defect_with_right_lower_pulmonary_vein_inferior_vena_cava_communication_intraoperative_support_using_real-time_3D_transesophageal_echocardiography_mp4/29044436
dc.rights.none.fl_str_mv CC BY 4.0
info:eu-repo/semantics/openAccess
dc.subject.none.fl_str_mv Cardiology
three-dimensional real-time transesophageal echocardiography
thoracoscopic cardiac surgery
multimodality imaging
residual sinus venosus defect
inferior vena cava
right lower pulmonary vein
dc.title.none.fl_str_mv Video 3_Case Report: Thoracoscopic repair of a residual inferior sinus venosus-type defect with right lower pulmonary vein–inferior vena cava communication: intraoperative support using real-time 3D transesophageal echocardiography.mp4
dc.type.none.fl_str_mv Dataset
Media
info:eu-repo/semantics/publishedVersion
dataset
description Background<p>Residual venous defects after atrial septal defect (ASD) repair may remain asymptomatic for years and can be misinterpreted as partial anomalous pulmonary venous return. Accurate intraoperative imaging is essential to confirm the anatomy and guide repair, particularly in minimally invasive surgery.</p>Case presentation<p>A 28-year-old woman with no cardiopulmonary symptoms was referred after an abnormal electrocardiographic findings during a routine physical examination. She had undergone ASD repair at age 3. Transthoracic echocardiography revealed right heart enlargement, severe tricuspid regurgitation, and a suspected communication between right lower pulmonary vein (RLPV) and inferior vena cava (IVC), later confirmed by cardiac CT. She underwent thoracoscopic repair with tricuspid annuloplasty. Real-time 3D transesophageal echocardiography (RT-3D TEE) was used as an intraoperative aid to confirm the location of the residual RLPV–IVC communication, to support the placement of guidewire and catheter, and to assist in post-repair assessment. The surgery was completed successfully with complications, and follow-up imaging showed complete resolution of the defect.</p>Conclusion<p>In this case, RT-3D TEE provided effective intraoperative support during thoracoscopic cardiac surgery by enhancing spatial orientation and improving procedural confidence. While not essential in all cases, it may serve as a valuable assistant in anatomically complex or visually limited situations.</p>
eu_rights_str_mv openAccess
id Manara_5aba4a1aeadc300fcb3fb4b6ea767310
identifier_str_mv 10.3389/fcvm.2025.1568703.s003
network_acronym_str Manara
network_name_str ManaraRepo
oai_identifier_str oai:figshare.com:article/29044436
publishDate 2025
repository.mail.fl_str_mv
repository.name.fl_str_mv
repository_id_str
rights_invalid_str_mv CC BY 4.0
spelling Video 3_Case Report: Thoracoscopic repair of a residual inferior sinus venosus-type defect with right lower pulmonary vein–inferior vena cava communication: intraoperative support using real-time 3D transesophageal echocardiography.mp4Tianzong Li (4803252)Yiran Luo (18888278)Qin Liang (1338441)Kui Hu (631225)Chao Wang (146527)Cardiologythree-dimensional real-time transesophageal echocardiographythoracoscopic cardiac surgerymultimodality imagingresidual sinus venosus defectinferior vena cavaright lower pulmonary veinBackground<p>Residual venous defects after atrial septal defect (ASD) repair may remain asymptomatic for years and can be misinterpreted as partial anomalous pulmonary venous return. Accurate intraoperative imaging is essential to confirm the anatomy and guide repair, particularly in minimally invasive surgery.</p>Case presentation<p>A 28-year-old woman with no cardiopulmonary symptoms was referred after an abnormal electrocardiographic findings during a routine physical examination. She had undergone ASD repair at age 3. Transthoracic echocardiography revealed right heart enlargement, severe tricuspid regurgitation, and a suspected communication between right lower pulmonary vein (RLPV) and inferior vena cava (IVC), later confirmed by cardiac CT. She underwent thoracoscopic repair with tricuspid annuloplasty. Real-time 3D transesophageal echocardiography (RT-3D TEE) was used as an intraoperative aid to confirm the location of the residual RLPV–IVC communication, to support the placement of guidewire and catheter, and to assist in post-repair assessment. The surgery was completed successfully with complications, and follow-up imaging showed complete resolution of the defect.</p>Conclusion<p>In this case, RT-3D TEE provided effective intraoperative support during thoracoscopic cardiac surgery by enhancing spatial orientation and improving procedural confidence. While not essential in all cases, it may serve as a valuable assistant in anatomically complex or visually limited situations.</p>2025-05-13T05:19:13ZDatasetMediainfo:eu-repo/semantics/publishedVersiondataset10.3389/fcvm.2025.1568703.s003https://figshare.com/articles/media/Video_3_Case_Report_Thoracoscopic_repair_of_a_residual_inferior_sinus_venosus-type_defect_with_right_lower_pulmonary_vein_inferior_vena_cava_communication_intraoperative_support_using_real-time_3D_transesophageal_echocardiography_mp4/29044436CC BY 4.0info:eu-repo/semantics/openAccessoai:figshare.com:article/290444362025-05-13T05:19:13Z
spellingShingle Video 3_Case Report: Thoracoscopic repair of a residual inferior sinus venosus-type defect with right lower pulmonary vein–inferior vena cava communication: intraoperative support using real-time 3D transesophageal echocardiography.mp4
Tianzong Li (4803252)
Cardiology
three-dimensional real-time transesophageal echocardiography
thoracoscopic cardiac surgery
multimodality imaging
residual sinus venosus defect
inferior vena cava
right lower pulmonary vein
status_str publishedVersion
title Video 3_Case Report: Thoracoscopic repair of a residual inferior sinus venosus-type defect with right lower pulmonary vein–inferior vena cava communication: intraoperative support using real-time 3D transesophageal echocardiography.mp4
title_full Video 3_Case Report: Thoracoscopic repair of a residual inferior sinus venosus-type defect with right lower pulmonary vein–inferior vena cava communication: intraoperative support using real-time 3D transesophageal echocardiography.mp4
title_fullStr Video 3_Case Report: Thoracoscopic repair of a residual inferior sinus venosus-type defect with right lower pulmonary vein–inferior vena cava communication: intraoperative support using real-time 3D transesophageal echocardiography.mp4
title_full_unstemmed Video 3_Case Report: Thoracoscopic repair of a residual inferior sinus venosus-type defect with right lower pulmonary vein–inferior vena cava communication: intraoperative support using real-time 3D transesophageal echocardiography.mp4
title_short Video 3_Case Report: Thoracoscopic repair of a residual inferior sinus venosus-type defect with right lower pulmonary vein–inferior vena cava communication: intraoperative support using real-time 3D transesophageal echocardiography.mp4
title_sort Video 3_Case Report: Thoracoscopic repair of a residual inferior sinus venosus-type defect with right lower pulmonary vein–inferior vena cava communication: intraoperative support using real-time 3D transesophageal echocardiography.mp4
topic Cardiology
three-dimensional real-time transesophageal echocardiography
thoracoscopic cardiac surgery
multimodality imaging
residual sinus venosus defect
inferior vena cava
right lower pulmonary vein