Modified Superior Approach for Repair of Supracardiac and Mixed Total Anomalous Pulmonary Venous Drainage

Sérraf, Alain; Belli, Emrè; Roux, Daniel; Sousa-Uva, Miguel; Lacour-Gayet, François; Planché, C

doi:10.1016/s0003-4975(98)00141-6

Cited by 36 publications

(44 citation statements)

References 5 publications

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“…7 The inferior approach with retraction of the apex anteriorly might distort the cardiac and pulmonary venous anatomy and result in kinking of the anastomosis. 1,8,9 In our experience, the superior approach between the superior vena cava and the ascending aorta as proposed by Tucker and colleagues 10 provided good exposure of the roof of the left atrium as well as the common pulmonary vein.…”

Section: Discussionmentioning

confidence: 82%

Repair of Total Anomalous Pulmonary Venous Connection in Early Infancy

Dharmapuram

Kumar

Rao³

et al. 2003

Asian Cardiovasc Thorac Ann

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From May 1995 through October 2001, 19 infants less than 90 days old underwent surgical correction of total anomalous pulmonary venous connection. In 15 babies with isolated total anomalous pulmonary venous connection, there was one operative death. In 4 with complex anomalies, there were 2 operative deaths. The vertical vein was not ligated in 6 cases for various reasons. Two patients died during reoperation for early pulmonary venous obstruction. In the late follow-up, 2 babies required reoperation for late anastomotic stricture; one needed additional balloon dilatation. Of the 14 surviving patients, one had a small residual gradient and infrequent supraventricular tachycardia, the others were asymptomatic and without gradients. Surgical correction of total anomalous pulmonary venous connection can be carried out in early infancy with low mortality and morbidity. However, associated complex cardiac anomalies and small caliber pulmonary arteries and veins carry higher risks. Recurrent pulmonary venous obstruction and diffuse pulmonary vein stenosis are causes of early reoperation and poor surgical outcome.

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Section: Discussionmentioning

confidence: 82%

Repair of Total Anomalous Pulmonary Venous Connection in Early Infancy

Dharmapuram

Kumar

Rao³

et al. 2003

Asian Cardiovasc Thorac Ann

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“…The aim of the surgical repair of TAPVC is to re‐establish a wide patent communication between the pulmonary veins and the left atrium 1 . Substantial anatomic variability exists among patients with supra‐cardiac TAPVC and several techniques have been described 1‐6 . Surgical repair of TAPVC to the SVC can be complicated by obstruction of the SVC flow, obstruction of the pulmonary veins pathway, and postoperative arrhythmias.…”

Section: Discussionmentioning

confidence: 99%

“…Total anomalous pulmonary venous connection (TAPVC) is characterized by the failed union of the pulmonary veins with the developing left atrium in combination with a persistent embryologic connection between the pulmonary and systemic venous system 1 . TAPVC is a rare congenital anomaly, accounting for approximately 2–3% of all congenital heart defects.…”

Section: Introductionmentioning

confidence: 99%

Surgical Repair of an Unusual Type of Supra-Cardiac Total Anomalous Pulmonary Venous Connection to the Superior Vena Cava

Perri

Filippelli

Kirk

et al. 2012

Journal of Cardiac Surgery

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Anomalies of the pulmonary venous drainage vary widely in their anatomic spectrum and clinical presentation. We describe an unusual case of supra‐cardiac total anomalous pulmonary venous connection (TAPVC), where the pulmonary veins drained directly in the posterior aspect of proximal right superior vena cava (SVC) through separate ostia. The veins were re‐routed with a patch to the left atrium via the secundum atrial septal defect (ASD). The continuity between distal SVC and right atrium was re‐established by re‐implanting the SVC to the right atrial appendage (Warden Procedure). (J Card Surg 2012;27:384‐386)

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“…More than 75% of children with total APVD die in the first year of life (7,8,(19)(20)(21)(22)(23) . In this study, nine patients died, eight in the first months of life (88.89%), consistent with reports in the literature.…”

Section: Discussionmentioning

confidence: 99%

Angiotomografia com múltiplos detectores no diagnóstico de drenagem venosa pulmonar anômala: experiência inicial

et al. 2010

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OBJETIVO: Demonstrar que a angiotomografia computadorizada com múltiplos detectores é um método efetivo e não invasivo para o diagnóstico de drenagem venosa pulmonar anômala. MATERIAIS E MÉTODOS: Estudo retrospectivo de 2.905 angiotomografias computadorizadas com múltiplos detectores cardíacas realizadas em nosso serviço no período de julho de 2003 a novembro de 2007. Destas, 393 foram destinadas para avaliar cardiopatias congênitas e as 2.512 restantes, para analisar as artérias coronárias. RESULTADOS: Foram encontrados 21 casos de drenagem venosa pulmonar anômala, sendo 7 (33,3%) do tipo total e 14 (66,7%) do tipo parcial. Das drenagens venosas pulmonares anômalas totais, três foram do tipo supracardíaco, três do tipo infracardíaco e uma do tipo cardíaco. CONCLUSÃO: A angiotomografia computadorizada com múltiplos detectores tem demonstrado fundamental importância no diagnóstico destas anomalias, principalmente por se tratar de método não invasivo capaz de analisar estruturas intra e extracardíacas e por permitir um estudo completo da anatomia torácica, contribuindo sobremaneira na conduta cirúrgica e, consequentemente, no prognóstico destes pacientes, especialmente por diagnosticar malformações não suspeitadas clinicamente

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Modified Superior Approach for Repair of Supracardiac and Mixed Total Anomalous Pulmonary Venous Drainage

Cited by 36 publications

References 5 publications

Repair of Total Anomalous Pulmonary Venous Connection in Early Infancy

Repair of Total Anomalous Pulmonary Venous Connection in Early Infancy

Surgical Repair of an Unusual Type of Supra-Cardiac Total Anomalous Pulmonary Venous Connection to the Superior Vena Cava

Angiotomografia com múltiplos detectores no diagnóstico de drenagem venosa pulmonar anômala: experiência inicial

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