Surgical techniques in partial anomalous pulmonary veins to the superior vena cava

DeLeon, Serafin Y.; Freeman, Joseph T.; Ilbawi, Michel N.; Husayni, Tarek S.; Quinones, Jose A.; Ow, E. Phillip; Bell, Timothy J.; Pifarré, Roque

doi:10.1016/0003-4975(93)90038-j

Cited by 52 publications

(48 citation statements)

References 19 publications

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“…9,10 Initially, this was felt to be related to incisions made through the cavoatrial junction, causing injury to the SN or its arterial supply. 6 Subsequently, similar dysfunction has been described following SVC translocation, despite the avoidance of a cavoatrial incision. [4][5][6][7][8][9][10][11] Recently, Baskett and Ross 12 have described a superior vena caval transverse incision 1 cm above the right atrial junction, to avoid late arrhythmia.…”

Section: Discussionmentioning

confidence: 96%

Outcome following Repair of Sinus Venosus Atrial Septal Defects in Children

Russell

LeBlanc

Deagle

et al. 2002

Asian Cardiovasc Thorac Ann

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The outcome of surgical repair of sinus venosus atrial septal defect was reviewed retrospectively. The operation was performed on 44 children aged 8 to 163 months, between April 1985 and November 1998. Median cardiopulmonary bypass and aortic crossclamp times were 58 minutes (range, 29 to 141 minutes) and 29 minutes (range, 4 to 67 minutes), respectively. Use of blood products decreased from 4.5 units per patient in the first period (1985 to 1989) to 0.6 units in the last period (1995 to 1998). Median intensive care and hospital stays were 2 days (range, 1 to 12 days) and 6 days (range, 4 to 16 days), respectively. There was 1 early death (2.3%). Complications included reexploration for bleeding in 2 patients (4.5%) and for superior vena cava obstruction in 1 (2.3%), and arrhythmias in 3 (6.8%), which required a pacemaker in one. During follow-up of 15 to 176 months, 83.8% of patients were in sinus rhythm. One required angioplasty for superior vena cava stenosis, hemodynamically insignificant residual shunt was found in 3, and mild superior vena cava stenosis in 3. Repair of sinus venosus atrial septal defect carries a low mortality and morbidity, but long-term follow-up is needed to monitor potential sinus node dysfunction and superior vena cava stenosis.

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Section: Discussionmentioning

confidence: 96%

Outcome following Repair of Sinus Venosus Atrial Septal Defects in Children

Russell

LeBlanc

Deagle

et al. 2002

Asian Cardiovasc Thorac Ann

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“…They encountered higher incidence of sinus node dysfunction than their another technique with separate incisions on the anterior surface of the SVC and RA appendage. 14) In a recent prospective study, classical "single and double patch techniques" were performed for the sinus venosus defect. Significant SVC obstruction in 8 patients, pressure gradient across the superior pulmonary vein at the level of the patch in 9 patients, and postoperative junctional rhythm in 4 patients were reported.…”

Section: Discussionmentioning

confidence: 99%

Lateral Cavoatriotomy for Partial Anomalous Pulmonary Venous Connection to the Superior Vena Cava

Gokaslan

Üstünsoy

Deniz

et al. 2013

ATCS

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“…The goal of surgical repair is to close the defect in the interatrial septum in such a way that it creates an unobstructed systemic and pulmonary venous drainage. Several techniques have been described in the literature and they include single‐ or double‐patch technique, 1,2,8,9 use of right atrial free wall muscle flaps, 3 and a Warden technique 4,6 …”

Section: Discussionmentioning

confidence: 99%

“…All these techniques are associated with important surgical morbidity such as obstruction to the systemic and pulmonary vein orifices, sinus node injury, and atrial bradyarrhythmias, but more recent series have reported more favorable outcomes with minimal or no morbidity 5,7,8–11 …”

Section: Discussionmentioning

confidence: 99%