Systemic and Pulmonary Venous Anomalies

Tacy, Theresa A.

doi:10.1007/978-1-84800-064-3_6

Cited by 7 publications

(4 citation statements)

References 82 publications

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“…The major limitation of the ME windows is the inability to align the Doppler beam parallel to the flow across the SVC-RAA anastomosis. [ 18 ] This problem can be addressed by visualizing the anastomosis in TG views. Although the anastomosis is not seen in standard TG RV inflow view and RV inflow-outflow view, off-axis visualization is possible with gentle probe manipulation and sector angle adjustment.…”

Section: Discussionmentioning

confidence: 99%

“…Usually, a SVC-RAA gradient of more than 5 mmHg is unacceptable. [ 2 ] Tacy[ 18 ] have mentioned that loss of biphasic pattern in SVC is more indicative of obstruction rather than absolute value of gradient as it varies with the loading conditions. In the current study, even though five patients had a high SVC-RAA gradient, only three required patch augmentation of anastomotic site as the biphasic pattern was preserved in remaining two.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Warden repair for superior sinus venosus atrial septal defect and anomalous pulmonary venous drainage in children: Anesthesia and transesophageal echocardiography perspectives

et al. 2016

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Objective:Review of intraoperative anesthetic challenges and the role of transesophageal echocardiography in children with sinus venosus atrial septal defect and partial anomalous pulmonary venous drainage undergoing Warden repair.Design:A retrospective observational case series.Methodolgy:Pediatric patients who underwent Warden repair between October 2011-September 2015 were recruited. Their preoperative clinical details, anesthetic techniques, intraoperative TEE findings and postoperative events were recorded from the medical records. The categorical variables and the continuous variables were expressed as number (percentages) and mean ± SD respectively.Results:A total of 35 patients were operated for Warden repair during the study period. Anesthesia was induced with the aim to prevent any fall in pulmonary vascular resistance. The right internal jugular vein was cannulated under ultrasound guidance using a short length cannula to monitor right superior vena cava pressure. Intraoperative TEE revealed the drainage of PAPVC high into RSVC in 22 patients. Persistent LSVC was found in 9 patients. After repair, TEE imaging detected a high gradient at Warden anastomotic site in 5 patients and 3 of them required revision of surgery. Rerouted pulmonary veins required surgical correction in 2 patients in view of obstruction. None of them had pulmonary venous and SVC obstruction in the postoperative period.Conclusion:The primary aim of anesthesia is to avoid any fall in PVR. Right IJV cannulation can be beneficial. The intraoperative TEE can help in delineating the anatomy of lesion and detecting anastomotic site obstruction.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Warden repair for superior sinus venosus atrial septal defect and anomalous pulmonary venous drainage in children: Anesthesia and transesophageal echocardiography perspectives

et al. 2016

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show abstract

“…Usually, SVC-RAA gradient of more than 5 mmHg is unacceptable. Tacy[ 9 ] have mentioned that loss of biphasic pattern in SVC is more indicative of obstruction rather than absolute value of gradient as it varies with the loading conditions The absence of pulmonary vein obstruction must be confirmed after device closure of ASD. If the pulsed wave Doppler gradient is less than 2 mmHg, pulmonary venous obstruction is ruled out.…”

Section: Atrial Septal Defectmentioning

confidence: 99%

Section: Atrial Septal Defectmentioning

confidence: 99%

Acyanotic congenital heart disease and transesophageal echocardiography

Sreedhar

2017

Ann Card Anaesth

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The spectrum of congenital heart disease (CHD) seen in the adult varies widely. Malformations range from mild anomalies requiring no intervention to extremely complex pathologies characterized by the presence of multiple coexistent defects. Echocardiography represents the primary noninvasive imaging modality in the assessment of these lesions. The transesophageal approach expands the applications of echocardiography by allowing the acquisition of anatomic and functional information that may not be obtainable by transthoracic imaging.

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Anomalies of the Pulmonary Venous Connections [Total (TAPVC) & Partial (PAPVC)]

Moradian

Ghaffari

2021

Atlas of Echocardiography in Pediatrics and Congenital Heart Diseases

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Systemic and Pulmonary Venous Anomalies

Cited by 7 publications

References 82 publications

Warden repair for superior sinus venosus atrial septal defect and anomalous pulmonary venous drainage in children: Anesthesia and transesophageal echocardiography perspectives

Warden repair for superior sinus venosus atrial septal defect and anomalous pulmonary venous drainage in children: Anesthesia and transesophageal echocardiography perspectives

Acyanotic congenital heart disease and transesophageal echocardiography

Anomalies of the Pulmonary Venous Connections [Total (TAPVC) & Partial (PAPVC)]

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