A Rare Congenital Cardiac Defect In An Adult: Anesthetic Considerations For Repair

Document Type

Conference Proceeding

Publication Date



We present a case of a 44-year-old female with a history of untreated chronic hypoxia, polycythemia, and recent cerebral infarct who was discovered to have a sinus venosus atrial septal defect (ASD) with an anomalous right upper pulmonary vein that emptied into the superior vena cava (SVC), and anomalous drainage of the right SVC in to the left atrium. The patient was scheduled for ASD repair and reconstruction of the SVC. We discuss the incidence of this congenital cardiac condition and the perioperative considerations for this patient’s cardiac anatomy and physiology.


American Society of Anesthesiology Annual Meeting, New Orleans, LA, October 21-25, 2022.