{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:49:37Z","timestamp":1753890577120,"version":"3.41.2"},"reference-count":10,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T00:00:00Z","timestamp":1747094400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats: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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats: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\u2013IVC 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.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats: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.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fcvm.2025.1568703","type":"journal-article","created":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T05:29:48Z","timestamp":1747114188000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Thoracoscopic repair of a residual inferior sinus venosus-type defect with right lower pulmonary vein\u2013inferior vena cava communication: intraoperative support using real-time 3D transesophageal echocardiography"],"prefix":"10.3389","volume":"12","author":[{"given":"Tianzong","family":"Li","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yiran","family":"Luo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qin","family":"Liang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kui","family":"Hu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chao","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,5,13]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e033686","DOI":"10.1161\/JAHA.123.033686","article-title":"Outcomes following surgical repair of sinus venosus atrial septal defects: a systematic review and meta-analysis","volume":"13","author":"El-Andari","year":"2024","journal-title":"J Am Heart Assoc"},{"key":"B2","doi-asserted-by":"publisher","first-page":"1953","DOI":"10.1161\/CIRCULATIONAHA.104.493775","article-title":"Sinus venosus atrial septal defect: long-term postoperative outcome for 115 patients","volume":"112","author":"Attenhofer Jost","year":"2005","journal-title":"Circulation"},{"key":"B3","doi-asserted-by":"publisher","first-page":"365","DOI":"10.1016\/0002-8703(94)90491-x","article-title":"Sinus venosus defects: unroofing of the right pulmonary veins\u2014anatomic and echocardiographic findings and surgical treatment","volume":"128","author":"Van Praagh","year":"1994","journal-title":"Am Heart J"},{"key":"B4","doi-asserted-by":"publisher","first-page":"776","DOI":"10.2459\/JCM.0000000000001507","article-title":"Transcatheter correction of residual inferior sinus venosus defect after surgical closure","volume":"24","author":"Granata","year":"2023","journal-title":"J Cardiovasc Med (Hagerstown)"},{"key":"B5","doi-asserted-by":"publisher","first-page":"bcr2014205377","DOI":"10.1136\/bcr-2014-205377","article-title":"A case of residual inferior sinus venosus defect after ineffective surgical closure","volume":"2014","author":"Uga","year":"2014","journal-title":"BMJ Case Rep"},{"key":"B6","first-page":"1006","article-title":"Residual inferior sinus venosus atrial septal defect after surgical closure of atrial septal defect; report of a case","volume":"65","author":"Hirooka","year":"2012","journal-title":"Kyobu Geka"},{"key":"B7","doi-asserted-by":"publisher","first-page":"738","DOI":"10.1067\/mje.2001.111005","article-title":"Residual sinus venosus atrial septal defect after surgical closure of atrial septal defect","volume":"14","author":"Fagan","year":"2001","journal-title":"J Am Soc Echocardiogr"},{"key":"B8","doi-asserted-by":"publisher","first-page":"1049","DOI":"10.1161\/01.cir.94.5.1049","article-title":"Diagnosis of sinus venosus atrial septal defect with transesophageal echocardiography","volume":"94","author":"Pascoe","year":"1996","journal-title":"Circulation"},{"key":"B9","doi-asserted-by":"publisher","first-page":"773","DOI":"10.1007\/s10741-019-09847-5","article-title":"Adult congenital heart disease with pulmonary arterial hypertension: mechanisms and management","volume":"25","author":"Papamichalis","year":"2020","journal-title":"Heart Fail Rev"},{"key":"B10","doi-asserted-by":"publisher","first-page":"1183","DOI":"10.1016\/j.jacc.2022.01.022","article-title":"Eisenmenger syndrome: JACC state-of-the-art review","volume":"79","author":"Arvanitaki","year":"2022","journal-title":"J Am Coll Cardiol"}],"container-title":["Frontiers in Cardiovascular Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2025.1568703\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T05:29:54Z","timestamp":1747114194000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2025.1568703\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5,13]]},"references-count":10,"alternative-id":["10.3389\/fcvm.2025.1568703"],"URL":"https:\/\/doi.org\/10.3389\/fcvm.2025.1568703","relation":{},"ISSN":["2297-055X"],"issn-type":[{"type":"electronic","value":"2297-055X"}],"subject":[],"published":{"date-parts":[[2025,5,13]]},"article-number":"1568703"}}