Partial Anomalous Pulmonary Venous Connection to the Superior Vena Cava

Aramendi, José I.; Rey, E.; Hamzeh, Gadah; Crespo, Alejandro; Luis, M.; Voces, Roberto

doi:10.1016/j.athoracsur.2010.12.007

Cited by 6 publications

(4 citation statements)

References 14 publications

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“…upper pulmonary vein into the right atrium and subsequently baffling into the left atrium [11,39] or reimplantation directly into the left atrium [40].…”

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confidence: 99%

Superior Sinus Venosus Atrial Septal Defect: Overview of Surgical Options

Okonta¹,

Sanusi²

2013

OJTS

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Background: Superior sinus venosus atrial septal defect (SV-ASD) is an interatrial defect with partial anomalous pulmonary venous connection (PAPVC) draining into the right atrium. The principle for SV-ASD surgical repair involves redirecting the pulmonary venous blood back to the left atrium and closure of the atrial septal defect without compromising the adjoining structures. Methods: We reviewed English literature relating to this topic via a MEDLINE and Google scholar search using the following terms: surgery for sinus venosus atrial septal defect (SV-ASD), surgery for partial anomalous pulmonary venous connection (PAPVC) and complications of the surgery. Results: A total of 910 consecutive cohort patients with different surgical options between 1984 to 2012 were analyzed. The breakdown showed that 291(32.0%) had single-patch, 275(30.2%) had Warden's procedure, 185(20.3%) had a double-patch and 159(17.5%) had use of autologous right atrial appendage for the anastomosis. The total follow-up was between 0.008-30 years. Sinus node dysfunction (SND) was the commonest complication occurring mostly in patients who had doublepatch technique 16(8.6%) followed by 15(5.5%) patients with single-patch technique, 7(4.4%) patients in whom right atrial appendage was used and 5(1.8%) patients with Warden's procedure. Venous obstruction occurred in 22(7.7%) patients with SP, 13(5.1%) patients with Warden's Procedure and 5(2.7%) patients with double-patch. Conclusion: The two major complications, SND and venous obstruction, assumed a seesaw approach as surgical maneuvers avoiding venous obstruction encouraged SND and vice versa. However, adopting surgical options which avoided incision across the Cavoatrial junction attenuated all the complications.

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“…upper pulmonary vein into the right atrium and subsequently baffling into the left atrium [11,39] or reimplantation directly into the left atrium [40].…”

mentioning

confidence: 99%

Superior Sinus Venosus Atrial Septal Defect: Overview of Surgical Options

Okonta¹,

Sanusi²

2013

OJTS

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“…When the pulmonary vein loses the connection to the left atrium, an isolated PAPVC to SVC is formed. We have recently introduced an off-pump direct reimplantation technique through an axillary minithoracotomy [3]. Both patients were scheduled for this approach.…”

Section: Discussionmentioning

confidence: 99%

“…Video thoracoscopy and endoscopic instruments are used (Heart-Port, Edwards Lifesciences, Irvine, CA, USA). The first patient was repaired without the use of cardiopulmonary bypass (CPB) as previously reported [3]. The anomalous pulmonary vein, SVC and right pulmonary artery were dissected and 1.5 mg/kg heparin was given.…”

Section: Surgical Techniquementioning

confidence: 99%

Cavopulmonary window: an extreme form of sinus venosus defect

Aramendi

Cubero

Hamzeh

et al. 2013

Interact CardioVasc Thorac Surg

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We present an unusual variant of the sinus venosus defect in which an obvious window is formed between a single pulmonary vein and the superior vena cava, the pulmonary vein retaining its connection to the left atrium. Two patients were operated on via right anterior minithoracotomy. A large single right pulmonary vein was found connecting to the left atrium. There was a large side-to-side communication between the superior vena cava and the pulmonary vein resulting in partially anomalous pulmonary venous drainage. A side-biting clamp was applied in the superior vena cava and the pulmonary vein at both sides of the communication, and the vein was divided. The incision in both veins was closed with a running suture.

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“…PAPVC is a condition in which one or more pulmonary veins drain into the right atrium or a systemic vein; PAPVC is a frequently reported congenital cardiac anomaly [1]. However, PAPVC without ASD and with coarctation of the aortic arch is considered a rare congenital cardiac anomaly.…”

Section: Introductionmentioning

confidence: 99%

Rare association of two cardiovascular malformations successfully corrected in a single surgery: a case report

Mei

Bai

et al. 2017

J Cardiothorac Surg

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BackgroundPartial anomalous pulmonary venous connection (PAPVC) without an atrial septal defect (ASD) associated with coarctation of the aortic arch is a rare congenital cardiac anomaly. This rare combination is only described in a few studies; none report the correction of these two malformations in a single surgery.Case presentationA 5-year-old girl was admitted to our hospital because the echocardiography revealed coarctation of the aortic arch; this diagnosis was confirmed by computed tomography (CT), which also showed her left superior pulmonary vein draining into the vertical vein without ASD (Fig. 1). She exhibited no special clinical symptoms. Her upper-limb blood pressure was approximately 110/90 mmHg, whereas her lower-limb blood pressure was approximately 75/50 mmHg.ConclusionsWe surgically repaired the case of PAPVC to the vertical vein with aortic coarctation, in which the two cardiovascular malformations were corrected in a single surgery without cardiopulmonary bypass.

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Partial Anomalous Pulmonary Venous Connection to the Superior Vena Cava

Cited by 6 publications

References 14 publications

Superior Sinus Venosus Atrial Septal Defect: Overview of Surgical Options

Superior Sinus Venosus Atrial Septal Defect: Overview of Surgical Options

Cavopulmonary window: an extreme form of sinus venosus defect

Rare association of two cardiovascular malformations successfully corrected in a single surgery: a case report

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