Closure of the right atriotomy
The atrial septal defect was directly closed using 5-0 polypropylene suture. The right atrium was closed in two layers using 5-0 polypropylene suture. The child was weaned-off cardiopulmonary bypass with stable hemodynamics on dobutamine and nitroglycerine infusion.
Postoperatively, the child was in normal sinus rhythm, and recovery was uneventful. At the 24-months follow-up, the child was asymptomatic, in normal sinus rhythm, normal ventricular function with no echocardiographic evidence of regional wall motion abnormality.