Echocardiographic Spectrum of Supracardiac Total Anomalous Pulmonary Venous Connection

Brown, Victoria E.; Lange, Marie de; Dyar, Daniel A.; Impastato, Laurel Wood; Shirali, Girish S

doi:10.1016/s0894-7317(98)70091-4

Cited by 23 publications

(15 citation statements)

References 36 publications

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“…Supracardiac TAPVC is found obstructed in 50% of cases. Obstruction usually involves a vertical vein either intrinsically or extrinsically . Obstructed TAPVC is a high‐risk surgical condition and numerous studies have demonstrated the advantage of leaving the vertical vein unligated to avoid low‐output syndrome and pulmonary hypertensive crises in the postoperative period.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Pulmonary Vein Stenting Through an Unligated Vertical Vein in a Postoperative Case of TAPVC

2014

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We present a case of obstructed supracardiac total anomalous connection (TAPVC) where the vertical vein was left open at surgery because of significant pulmonary artery hypertension. One month following surgery, the patient developed progressive pulmonary venous obstruction at the pulmonary vein-left atrial junction bilaterally. The pulmonary veins were stented using a technique where the unligated vertical vein was utilized to access left atrium.

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Section: Discussionmentioning

confidence: 99%

Bilateral Pulmonary Vein Stenting Through an Unligated Vertical Vein in a Postoperative Case of TAPVC

2014

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“…[2] Bilateral vertical veins with[3] and without[4] a confluence, with bilateral obstruction has been reported. To the best of our knowledge, a branching vertical vein with multiple sites of obstruction has not been previously reported.…”

Section: Discussionmentioning

confidence: 99%

Branching vertical vein with multiple sites of obstruction in supracardiac total anomalous pulmonary venous connection

et al. 2014

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“…Supracardiac TAPVC is a rare congenital cardiac defect in which obstruction of the VV approaches 40% [3]. Elective stent implant in the VV as a palliative procedure may allow additional somatic growth to reduce mortality and morbidity at the time of surgery.…”

Section: Conflict Of Interestmentioning

confidence: 99%

“…TAPVC encompasses different anatomic subtypes in which pulmonary veins fail to connect directly to the left atrium and drain to the right atrium via an anomalous venous connection [2,3]. Supracardiac TAPVC is the most common type, comprising about 45% of cases [2].…”

Section: Introductionmentioning

confidence: 99%

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Elective Stent Implant in the Obstructed Vertical Vein of Supracardiac Total Anomalous Pulmonary Venous Connection Prior to Operative Repair

Bratincsák¹,

Alstine²,

Koren³

et al. 2017

jshd

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Background: Total anomalous pulmonary venous connection (TAPVC) comprises 2% of congenital heart disease cases. Obstructed TAPVC typically presents with respiratory distress secondary to pulmonary congestion. We report a case of an infant patient who was electively referred to catheterization for stent placement to relieve vertical vein (VV) stenosis. Our objective was to prevent the emergent need for surgical intervention while allowing additional growth before surgery. Case Presentation: A 7-day-old, late pre-term, small for gestational age male infant was transferred from an outside institution. He was initially placed on nasal cannula due to oxygen saturation around 80% but progressed to continuous positive airway pressure and had a chest X-ray suggestive of pulmonary edema. Echocardiography revealed supracardiac TAPVC, a small apical muscular ventricular septal defect, and a moderate secundum atrial septal defect. On admission, the patient was clinically stable with a baseline oxygen saturation of 72% on 40% oxygen. Echocardiography confirmed supracardiac TAPVC and also showed an obstruction with a mean gradient of 22 mmHg in the VV. The desire to optimize the patient's clinical stability led to the decision to undergo cardiac catheterization for stent implantation in the VV. Immediately following the procedure, the patient's hemodynamics improved, with a pressure gradient between the pulmonary venous confluence and the left innominate vein of 4 mmHg. Conclusions: Over the last decade, surgical outcomes IntroductionTotal anomalous pulmonary venous connection (TAPVC) is a rare cardiac defect that comprises 2% of congenital heart disease cases [1]. TAPVC encompasses different anatomic subtypes in which pulmonary veins fail to connect directly to the left atrium and drain to the right atrium via an anomalous venous connection [2,3]. Supracardiac TAPVC is the most common type, comprising about 45% of cases [2]. A left-sided vertical vein (VV) accounts for 70% of the connections between the pulmonary confluence and the right atrium, and stenosis occurs in approximately 40% of cases [3].Obstructed TAPVC typically presents with respiratory distress secondary to pulmonary congestion,

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Echocardiographic Spectrum of Supracardiac Total Anomalous Pulmonary Venous Connection

Cited by 23 publications

References 36 publications

Bilateral Pulmonary Vein Stenting Through an Unligated Vertical Vein in a Postoperative Case of TAPVC

Bilateral Pulmonary Vein Stenting Through an Unligated Vertical Vein in a Postoperative Case of TAPVC

Branching vertical vein with multiple sites of obstruction in supracardiac total anomalous pulmonary venous connection

Elective Stent Implant in the Obstructed Vertical Vein of Supracardiac Total Anomalous Pulmonary Venous Connection Prior to Operative Repair

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