{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,7]],"date-time":"2026-08-07T16:08:30Z","timestamp":1786118910098,"version":"build-2736575974"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,4,1]],"date-time":"2025-04-01T00:00:00Z","timestamp":1743465600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,3,22]],"date-time":"2025-03-22T00:00:00Z","timestamp":1742601600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Sinus venosus atrial septal defect (SVASD) is a rare congenital anomaly often associated with partial anomalous pulmonary venous return (PAPVR), leading to right heart volume overload and pulmonary hypertension. While traditionally managed via median sternotomy, minimally invasive approaches are emerging as effective alternatives, offering reduced surgical complication and improved outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>We report a case of a 59-year-old female with a one-year history of recurrent episodes of spontaneous palpitations. Echocardiographic evaluation revealed a high SVASD with PAPVR, severe pulmonary hypertension, tricuspid regurgitation, and right heart enlargement. A minimally invasive repair was performed through a right anterior minithoracotomy, employing a double-patch technique to address the SVASD and PAPVR, along with tricuspid valve repair. The postoperative recovery was uneventful, with follow-up echocardiography confirming the absence of residual shunts, significant improvement in pulmonary artery pressure, and normalization of right ventricular function. At 1, 3, and 6 months follow-up, the patient showed excellent clinical outcome with no recurrence or complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>This case highlights the feasibility and effectiveness of minimally invasive anterior thoracotomy for complex congenital heart defects. The double patch technique ensured optimal pulmonary venous redirection while preventing superior vena cava narrowing. The approach aligns with evolving trends in congenital heart surgery, emphasizing enhanced visualization, reduced surgical trauma, and superior cosmetic outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>This case highlights the growing role of minimally invasive anterior thoracotomy as a safe and effective alternative for complex SVASD with PAPVR. As surgical techniques advance, this approach may become a preferred strategy for congenital cardiac repairs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2025.111199","type":"journal-article","created":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T19:36:43Z","timestamp":1742931403000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Minimally invasive anterior thoracotomy approach for complex sinus venosus atrial septal defect with anomalous pulmonary venous return: A case report"],"prefix":"10.1097","volume":"129","author":[{"given":"Hamza A.","family":"Abdul-Hafez","sequence":"first","affiliation":[{"name":"Department of Medicine, Faculty of Medicine and Health Sciences, An-Najah National University, Nablus, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Farah M.","family":"Jabbarin","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Al Makassed Hospital, Jerusalem, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hasan","family":"Alkhatib","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helmi Mahmoud","family":"Tamimi","sequence":"additional","affiliation":[{"name":"Department of Cardiac surgery, Al Makassed Hospital, Jerusalem, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Abutaqa","sequence":"additional","affiliation":[{"name":"Head of Pediatric and Interventional Cardiology Department, Palestine Medical Complex, Ramallah, Palestine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"issue":"15","key":"R2-92-20260423","doi-asserted-by":"crossref","first-page":"1645","DOI":"10.1161\/CIRCULATIONAHA.105.592055","article-title":"Atrial septal defects in the adult: recent progress and overview","volume":"114","author":"Webb,","year":"2006","journal-title":"Circulation"},{"key":"R3-92-20260423","doi-asserted-by":"crossref","first-page":"S2837","DOI":"10.21037\/jtd.2018.02.18","article-title":"Anatomy of the atrial septum and interatrial communications","volume":"10","author":"Naqvi,","year":"2018","journal-title":"J. Thorac. Dis."},{"issue":"11","key":"R4-92-20260423","doi-asserted-by":"crossref","first-page":"1524","DOI":"10.1007\/s11606-013-2481-6","article-title":"Atrial septal defect in an adult patient","volume":"28","author":"Sankey,","year":"2013","journal-title":"J Gen Intern Med."},{"key":"R5-92-20260423","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1186\/1749-8090-7-43","article-title":"Anterolateral minithoracotomy versus median sternotomy for the treatment of congenital heart defects: a meta-analysis and systematic review","volume":"7","author":"Ding,","year":"2012","journal-title":"J. Cardiothorac. Surg."},{"issue":"3","key":"R6-92-20260423","doi-asserted-by":"crossref","first-page":"1588","DOI":"10.21037\/jtd.2018.03.47","article-title":"Right anterior mini-thoracotomy vs. conventional sternotomy for aortic valve replacement: a propensity-matched comparison","volume":"10","author":"Del Giglio,","year":"2018","journal-title":"J. Thorac. Dis."},{"issue":"3","key":"R8-92-20260423","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1016\/j.jtcvs.2006.08.076","article-title":"Comparative study of single- and double-patch techniques for sinus venosus atrial septal defect with partial anomalous pulmonary venous connection","volume":"133","author":"Iyer,","year":"2007","journal-title":"J. Thorac. Cardiovasc. Surg."},{"key":"R9-92-20260423","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1016\/j.xjtc.2024.07.001","article-title":"Minimally invasive 2-patch repair technique for sinus venosus atrial septal defects","volume":"27","author":"Reed,","year":"2024","journal-title":"JTCVS Tech."},{"issue":"5","key":"R10-92-20260423","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1097\/JS9.0000000000000373","article-title":"The SCARE 2023 guideline: updating consensus Surgical CAse REport (SCARE) guidelines","volume":"109","author":"Sohrabi,","year":"2023","journal-title":"Int J Surg [Internet]"},{"issue":"7","key":"R11-92-20260423","doi-asserted-by":"crossref","first-page":"1653","DOI":"10.1111\/jocs.14591","article-title":"Minimally invasive periareolar approach to repair sinus venosus atrial septal defect with partial anomalous pulmonary venous connection","volume":"35","author":"Bozso,","year":"2020","journal-title":"J. Card. Surg."},{"issue":"9","key":"R12-92-20260423","doi-asserted-by":"crossref","first-page":"984","DOI":"10.3390\/medicina57090984","article-title":"Superior sinus venosus atrial septal defect with partial anomalous pulmonary venous drainage\u2014minimally invasive approach\u2014case report","volume":"57","author":"Moldovan,","year":"2021","journal-title":"Medicina"},{"key":"R13-92-20260423","first-page":"43","article-title":"J Cardiothorac Surg","volume":"7","author":"Ding,","year":"2012"}],"container-title":["International Journal of Surgery Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225003852?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S2210261225003852?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ovid.com\/10.1016\/j.ijscr.2025.111199","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,6]],"date-time":"2026-08-06T16:54:09Z","timestamp":1786035249000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.1016\/j.ijscr.2025.111199"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,4]]},"references-count":11,"journal-issue":{"issue":"C","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.1016\/j.ijscr.2025.111199","relation":{},"ISSN":["2210-2612"],"issn-type":[{"value":"2210-2612","type":"print"}],"subject":[],"published":{"date-parts":[[2025,4]]},"assertion":[{"value":"2025-02-15","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-03-22","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}