Thoracoscopic Surgery for Partial Anomalous Pulmonary Venous Connection with Dual Drainage

Abstract

We report our technique for thoracoscopic surgery for a 15-year-old female (body weight, 59 kg) diagnosed with partial anomalous pulmonary venous connection with dual drainage. A large anomalous right lower pulmonary vein (RLPV) was drained into the inferior vena cava and left atrium, along with thoracoscopic ligation and clipping of RLPV and some anomalous hepatic veins.

Thoracoscopic treatment of left-to-right shunt in a child with scimitar syndrome

“…Thoracoscopic resection of pulmonary sequestration is widely used; on the other hand, so far, there is only one article in the literature on employing a thoracoscopic approach for an anomalous pulmonary venous connection in a child. 7 We report the first case of scimitar syndrome with both systemic arteriovenous connections to be treated via the thoracoscopic approach.…”

“…Ligation or embolisation of aberrant vessels is only feasible when there is dual arterial supply or venous drainage of the related parenchyma. 7,8 Transcatheter therapy has some limitations: it is unsuitable for vessels that are too large or too small, and its effect may be palliative. Thoracoscopic resection of pulmonary sequestration is widely used; on the other hand, so far, there is only one article in the literature on employing a thoracoscopic approach for an anomalous pulmonary venous connection in a child.…”

“…Intra-atrial baffle repair, reimplantation of the scimitar vein on the left atrium, and pneumonectomy or lobectomy can be preferred depending on the patient. Ligation or embolisation of aberrant vessels is only feasible when there is dual arterial supply or venous drainage of the related parenchyma 7 8 Transcatheter therapy has some limitations: it is unsuitable for vessels that are too large or too small, and its effect may be palliative.…”