By W. Burggren, B. Keller
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Additional info for Devel. of Cardiovascular Systs - Molecules to Organisms
9D—Upper section of same specimen as in part C. Note that there is no gap between attachments of Sept I and Sept II. 9E—Right atrial view of case similar to parts A and B with marked displacement of Sept I away from Sept II. Arrow-shaped probe in foramen ovale. 16 Similar to the previous type, the surgeon’s view from the right atrium can be mistaken for a common atrium with absence of the atrial septum, when, in fact, the atrial septum is deviated far to the left of its expected location. As such, the deviated septum can be mistaken for the left atrial free wall with associated common atrium.
25–28 The most common variant is the sinus venosus defect of the superior vena cava type. 11). This results in the creation of an interatrial communication from the left atrium to the right atrium. The anterior and inferior boundary of the defect is the posterosuperior portion of the septum secundum. The remaining boundaries are the ostia of the pulmonary veins and superior vena cava. 12). This too is a form of sinus venosus defect of the superior vena caval type. 13), but occasionally with involvement of the right lower pulmonary vein.
Pediatr Cardiol. 2005;25(4):338–343. Chan KC, Godman MJ. Morphological variations of fossa ovalis atrial septal defects (secundum): feasibility for transcutaneous closure with the clam-shell device. Br Heart J. 1993; 69(1):52–55. Ferreira SM, Ho SY, Anderson RH. Morphological study of defects of the atrial septum within the oval fossa: implications for transcatheter closure of left-to-right shunt. Br Heart J. 1992;67(4):316–320. Marx GR, Sherwood MG, Fleishman C, Van Praagh R. Three-dimensional echocardiography of the atrial septum.
Devel. of Cardiovascular Systs - Molecules to Organisms by W. Burggren, B. Keller