Outcomes of Double-patch and Warden Techniques in Patients With Supracardiac Partial Anomalous Pulmonary Venous Connection

Zubritskiy, Alexey; Naberukhin, Yuriy; Архипов, А. Н.; Gorbatykh, Yu. N.; Хапаев, Т С; Nichay, N.R.; Kulyabin, Yu.Yu.; Bogachev-Prokophiev, Alexander; Караськов, А. М.

doi:10.1016/j.hlc.2018.11.020

Cited by 12 publications

(14 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…They suggested that the potential mechanism of rhythm complications after surgery for sinus venosus-type ASD and PAPVR include anatomical anomalies of the sinus node or surgical trauma to the sinus node, the internodal tract, and the blood supply to the sinus node. Zubritskiy et al [ 6 ] compared the postoperative outcomes of the double patch technique and the Warden procedure in 40 patients with a median follow-up duration of 22 months. Both groups showed no early mortality and similar postoperative outcomes; however, the incidence of sinoatrial nodal dysfunction was significantly higher in the double patch group [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

“…Zubritskiy et al [ 6 ] compared the postoperative outcomes of the double patch technique and the Warden procedure in 40 patients with a median follow-up duration of 22 months. Both groups showed no early mortality and similar postoperative outcomes; however, the incidence of sinoatrial nodal dysfunction was significantly higher in the double patch group [ 6 ]. Stewart et al [ 8 ] also reported similar results, in that 55% of the patients who underwent the double-patch technique developed rhythm complications, while none of the patients in the Warden procedure group did so.…”

Section: Discussionmentioning

confidence: 99%

“…Recent studies have reported favorable short-and mid-term outcomes of the Warden procedure [ 4 - 6 ]. However, although the prevalence is relatively low, there remain some concerns about complications after the Warden procedure, such as sinoatrial nodal dysfunction and SVC or pulmonary venous stenosis at the anastomosis site [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Outcomes of the Warden Procedure for Anomalous Pulmonary Venous Return to the Superior Vena Cava: A 17-Year Experience

et al. 2022

View full text Add to dashboard Cite

Background Surgical repair of partial anomalous pulmonary venous return (PAPVR) to the superior vena cava (SVC) using the Warden procedure has favorable outcomes. However, there remain some concerns after the Warden procedure, such as sinoatrial nodal dysfunction and systemic or pulmonary venous stenosis. We investigated the outcomes of the Warden procedure for repair of PAPVR to the SVC. Methods This retrospective study included 22 consecutive patients who underwent the Warden procedure for PAPVR between 2002 and 2018. The median age and body weight at operation were 27.5 months (interquartile range [IQR], 5.0–56.8 months) and 13.2 kg (IQR, 6.5–16.0 kg), respectively. The median follow-up duration was 6.2 years (IQR, 3.5–11.6 years). Results There were no cases of early or late mortality. No patients had postoperative heart rhythm problems, except 1 patient who showed transient sinoatrial nodal dysfunction in the immediate postoperative period. Procedure-related complications requiring reintervention occurred in 5 patients, including 3 of 4 SVC stenosis cases and 2 pulmonary venous stenosis cases during follow-up. The rate of freedom from reintervention related to the Warden procedure was 75.9% at 10 years. Conclusion In cases requiring extension or creation of an atrial septal defect to achieve a sufficient venous pathway, or interposition of an entire circumferential conduit between the SVC and right atrium due to the shortness of the SVC in the Warden procedure, stenotic complications of the venous pathway occurred. Careful observation of changes in the pressure gradient or anatomical stenosis is required in such patients.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Outcomes of the Warden Procedure for Anomalous Pulmonary Venous Return to the Superior Vena Cava: A 17-Year Experience

et al. 2022

View full text Add to dashboard Cite

show abstract

“…The Warden procedure (division of the right superior vena cava and anastomosis of the cava to the right atrial appendage) 1 for PAPVR was developed to avoid long intracaval patches and conduction system injury 4 -6 and has occasionally incorporated interposition grafts in the cavoatrial connection. 2,3 Although in right-sided PAPVR the interposition graft is used for a different reason, its use in left PAPVR is to facilitate the anastomosis of the anomalous pulmonary vein to the left atrial appendage.…”

Section: Commentmentioning

confidence: 99%

Pulmonary Venoatrial Connection Using a Ringed Tube Graft to Repair Partial Anomalous Pulmonary Venous Return

Ong

D’Alessandro

Cameron

et al. 2020

World J Pediatr Congenit Heart Surg

View full text Add to dashboard Cite

Left-sided partial anomalous pulmonary venous return (left pulmonary veins to left vertical vein) was repaired in a 70-year-old patient by ligation of the vertical vein and connection of the pulmonary veins to the left atrial appendage using a ringed polytetrafluoroethylene tube graft. The graft made the connection technically easier and facilitated a torque-free and tension-free anastomosis that was “stented” open by the rings.

show abstract

“…Partial anomalous pulmonary venous return (PAPVR) is the most common type of pulmonary venous return anomaly ( 1 ). The surgical procedure for PAPVR drainage into the coronary sinus (CS) is controversial, especially in conjunction with a left superior vena cava (LSVC) draining to an intact CS.…”

Section: Introductionmentioning

confidence: 99%

Case Report: Double-Decker Repair of Partial Pulmonary Venous Return Into the Coronary Sinus

Jiang

Liu

et al. 2022

Front. Cardiovasc. Med.

View full text Add to dashboard Cite

We present a case of persistent left superior vena cava (LSVC) draining into the right atrium (RA) via the coronary sinus (CS), while the left superior pulmonary vein returns abnormally to the CS. The LSVC may have few clinical consequences but complicates surgical repair of partial anomalous pulmonary venous return (PAPVR). Transthoracic echocardiography and computed tomographic angiography (CTA) showed that a persistent LSVC and PAPVR converged behind the left atrium. During the operation, the left atrium was adjacent to the confluence part. We resected a portion of the adjacent left atrium to create an inlet of the pulmonary veins and used two autologous pericardial patches to reconstruct a tunnel directing flow from the left pulmonary veins to the surgically created inlet in the adjacent left atrium, and another upper tunnel directing flow from the LSVC to the dilated CS. Pulmonary CTA confirmed that both PAPVR flow to LA and LSVC flow to RA were unobstructed. At a 12-month follow-up, the patient was asymptomatic. No supraventricular arrhythmia was detected. We would like to present this additional technique to our armamentarium to treat PAPVR in combination with LSVC.

show abstract

Outcomes of Double-patch and Warden Techniques in Patients With Supracardiac Partial Anomalous Pulmonary Venous Connection

Cited by 12 publications

References 12 publications

Outcomes of the Warden Procedure for Anomalous Pulmonary Venous Return to the Superior Vena Cava: A 17-Year Experience

Outcomes of the Warden Procedure for Anomalous Pulmonary Venous Return to the Superior Vena Cava: A 17-Year Experience

Pulmonary Venoatrial Connection Using a Ringed Tube Graft to Repair Partial Anomalous Pulmonary Venous Return

Case Report: Double-Decker Repair of Partial Pulmonary Venous Return Into the Coronary Sinus

Contact Info

Product

Resources

About