Surgical repair for primary pulmonary vein stenosis: Single-institution, midterm follow-up

Shi, Guoyong; Zhu, Zhongqun; Chen, Huiwen; Zhang, Haibo; Zheng, Jie; Liu, Jinfeng

doi:10.1016/j.jtcvs.2015.03.032

Cited by 26 publications

(29 citation statements)

References 24 publications

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“…(3,7,8) Although the small cohort of 5 patients, and the high level of loss to follow-up limit our and patch anastomosis to enlarge the tightened segment). (1,9,10) A new surgical strategy called sutureless marsupialisation where the pericardium surrounding the affected PV is directly attached to the LA, so direct stiches over the cut edges of the vessel are avoided, has been used. (9)(10)(11) Pneumonectomy such as in case 2, may be necessary for patients with haemoptysis, while those with unrelenting progression and development of severe pulmonary hypertension, are managed with lung transplantation.…”

Section: Resultsmentioning

confidence: 99%

“…(9)(10)(11) Pneumonectomy such as in case 2, may be necessary for patients with haemoptysis, while those with unrelenting progression and development of severe pulmonary hypertension, are managed with lung transplantation. (2,10) Overall, surgical outcomes have been disappointing. The condition is generally unresponsive to treatment and tends to recur.…”

Section: Resultsmentioning

confidence: 99%

“…The condition is generally unresponsive to treatment and tends to recur. (4,7,10) Transcatheter interventions include the use of stents and balloon dilatation. (2,10,11) There are, however, poor outcomes with these interventions and limited experience of percutaneous interventions in children.…”

Section: Resultsmentioning

confidence: 99%

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Congenital pulmonary vein stenosis at an African tertiary care centre over a 25-year period

Lebea¹,

Cilliers²,

Ntsinjana³

2019

SAHJ

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INTRODUCTIONCongenital pulmonary vein stenosis (PVS) is a rare condition, resulting from abnormal incorporation of the common pulmonary vein into the left atrium. (1)(2)(3) One or more of the 4 pulmonary veins may be involved and it is commonly associated with other congenital heart defects (CHD), but can occur in isolation. (2)(3)(4) Commonly, patients present with respiratory symptoms with varying degrees of pulmonary hypertension. (5,6) Surgical results are generally poor with a high risk of recurrence and high mortality.(3) Reports are limited to small case series with little data on outcomes. (7) The aim of the study was to describe a series of cases with congenital pulmonary vein stenosis seen at the Chris Hani Baragwanath Academic Hospital, a large Southern African tertiary institution, over a 25-year period. METHODS AND SUBJECTSPatients were retrospectively identified using an electronic paediatric cardiology database system dating from January 1990 to January 2015. Clinical notes, catheterisation and imaging data of patients were reviewed. Data extracted for analysis included patient demographics, site of the lesion and the number of veins affected, associated congenital heart defects (CHD), and management strategies and outcomes. Patients with anomalous venous connection were excluded from this analysis. Background: Congenital pulmonary vein stenosis (PVS) is a rare condition, which results from abnormal embryological incorporation of the common pulmonary vein into the left atrium. Methods: A retrospective descriptive case series study was conducted with the aim of describing the characteristics and outcome of children with congenital PVS at an African tertiary care centre over a 25-year period. A computerised paediatric cardiology database initiated in the early 1990s was sourced to identify patients, following which clinical records were retrieved and reviewed. Results: Five cases of congenital PVS were identifi ed between January 1990 and January 2016 and accounted for 0.0007% of all congenital heart defects seen at the centre during the study period. The age at diagnosis ranged from 22 months -13 years. Most patients presented with respiratory symptoms, with 2 patients presenting with recurrent haemoptysis. The diagnosis of PVS was confi rmed by cardiac catheterisation and pulmonary angiography in all patients. All cases were right-sided unilateral PVS and all were associated with one or more congenital heart defects. Mild pulmonary hypertension and elevated capillary wedge pressures were found in all patients. Only one patient underwent specifi c surgery to relieve the PVS, which subsequently recurred. Another patient underwent a lobectomy following recurrent haemoptysis, but subsequently died of sepsis. Conclusion: Congenital PVS is a rare condition often associated with other congenital cardiac defects. Respiratory symptoms are common at presentation, with haemoptysis forming part of the presenting clinical spectrum, which is in keeping with the published literature. Elevated pulmonary artery pre...

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Congenital pulmonary vein stenosis at an African tertiary care centre over a 25-year period

Lebea¹,

Cilliers²,

Ntsinjana³

2019

SAHJ

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Section: Introductionmentioning

confidence: 99%

“…Iatrogenic pulmonary venous obstruction (PVO) is a rare condition, most commonly reported as a complication following ablation for atrial fibrillation or after complex congenital cardiac surgery. [1][2][3][4][5] Patients with PVO commonly complain of dyspnea and hemoptysis. 1,6 In cases of PVO including multiple pulmonary veins, symptoms can be life threatening and require prompt intervention.…”

Section: Introductionmentioning

confidence: 99%

Repair of iatrogenic pulmonary vein occlusion with a vascularized atrial flap

Chemtob

Smith

Hatipoğlu

et al. 2019

Clinical Case Reports

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This is an open access article under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made. AbstractPulmonary vein obstruction is a rare condition, most commonly reported following pulmonary vein catheter ablation for atrial arrhythmia. This novel technique for treatment of pulmonary venous obstruction has the advantage of utilizing an autologous vascularized flap with intact endothelium for reconstruction of the pulmonary vein and to prevent restenosis. K E Y W O R D S atrial fibroelastoma, autologous, pulmonary vein reconstruction, pulmonary venous occlusion How to cite this article: Chemtob RA, Smith M, Hatipoglu U, et al. Repair of iatrogenic pulmonary vein occlusion with a vascularized atrial flap. Clin Case Rep.

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Cor Triatriatum, Pulmonary Vein Stenosis, and Atresia of the Common Pulmonary Vein

Mavroudis

Anderson

2023

Pediatric Cardiac Surgery

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Surgical repair for primary pulmonary vein stenosis: Single-institution, midterm follow-up

Cited by 26 publications

References 24 publications

Congenital pulmonary vein stenosis at an African tertiary care centre over a 25-year period

Congenital pulmonary vein stenosis at an African tertiary care centre over a 25-year period

Repair of iatrogenic pulmonary vein occlusion with a vascularized atrial flap

Cor Triatriatum, Pulmonary Vein Stenosis, and Atresia of the Common Pulmonary Vein

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