An extremely difficult and rarely successful open heart surgery was performed on a 23-year-old patient from Venezuela at the Metropolitan General by the Young and Middle-aged Adult Cardiac Surgeon. Mr. Theofilos Kolettis.
The patient was born with a rare congenital heart condition called “Partial anomalous pulmonary vein drainage and sinus venosus atrial septal defect.” In this anatomical abnormality, the three right pulmonary veins, instead of flowing into the left atrium, normally flow into the upper vena cava, while at the same time there is a communication (hole) in the heart that creates an escape between the left and right atria.
The patient, although asymptomatic for many years, had severe effects on the heart with dilatation of the right abdomen and without immediate surgery would result in heart failure and heart transplantation.
During the operation, the abnormality was completely corrected by diverting the circulation of the three right pulmonary veins to the left atrium and closing the intravaginal communication using an autologous pericardial implant by the patient, while with a corresponding pericardial implant, a plastic dilatation of the upper extremity was performed. in the future. With this technique the double pericardial patch was completely corrected and the patient will not need any other surgery in the future.
The patient with the method of fast recovery “Fast-track cardiac surgery” applied to all young and middle-aged patients, underwent open heart surgery and was discharged from the hospital with a total hospital stay of four days!
Mr. Theofilos Kolettis is a Cardiac Surgeon at Metropolitan General specializing in diseases of young and middle-aged adults, congenital and acquired heart diseases of adults, such as valvular diseases, aortic aneurysms, coronary heart disease in young adults, rare, etc. He has training and many years of experience in the US and the UK.
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