Navigating Anatomic Complexities: Ventricular Septal Defect Closure in an Infant With Right Lung Agenesis and Extreme Dextroversion.
Vatsal Vora, Shikha Goja, Harikrishnan R et al.
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Case in brief
A three-month-old infant with right lung agenesis and a large ventricular septal defect underwent surgical repair. The absent right lung was associated with malposition of the heart and mediastinal structures, creating technical challenges for definitive surgery. Repair was successful; the report emphasizes preoperative anatomic assessment and adaptation during the operation.
What made this case unusual
The combination of right lung agenesis and extreme dextroversion displaced the heart and mediastinal structures, complicating ventricular septal defect closure.
Diagnostic / clinical pearl
In lung agenesis with congenital heart disease, assess the altered cardiac and mediastinal anatomy before surgery and be prepared to adapt intraoperatively.