Partial anomalous pulmonary venous connection to the right side of the heart
- PMID: 2682021
Partial anomalous pulmonary venous connection to the right side of the heart
Abstract
Partial anomalous pulmonary venous connection to the right side of the heart often complicates surgery for atrial septal defects. Between 1964 and 1987, 39 patients, ranging from 2 to 52 years old, underwent repair of partial anomalous pulmonary venous connection. At least one anomalous pulmonary vein arose from the right upper lobe in 38 patients and right middle lobe in 30 patients and connected to the superior vena cava in 28 patients and the right atrium only in 11 patients. An atrial septal defect was present in 32 patients (82%). Patients who had partial anomalous pulmonary venous connection to the superior vena cava-right atrium junction, the right atrium or both were treated by septal translocation (two patients) or patch redirection of the anomalous pulmonary venous flow to the left atrium through a native atrial septal defect (eight patients) or a surgically created atrial septal defect in two patients with intact atrial septum. For partial anomalous pulmonary venous connection to the high superior vena cava (27 patients), the superior vena cava was transected and oversewn above the anomalous veins. The anomalous pulmonary venous flow was redirected through the proximal superior vena cava into the left atrium across a sinus venous atrial septum defect (22 patients) or a surgically created atrial septal defect in five patients with intact atrial septum. The atrial septal defect was coapted to the intracardiac orifice of the superior vena cava, and the distal superior vena cava was anastomosed to the right atrial appendage. One 31-year-old woman with severe pulmonary hypertension died early and was the only death in the series. A technical error early in the series resulted in one symptomatic superior vena cava obstruction. Only one patient remains in sick sinus syndrome late. All patients remain well over long follow-up (1 to 24 years). Postoperative catheterization or echocardiography has revealed no intracardiac defects, pulmonary venous obstruction, or superior vena cava obstruction (except the one technical error). Correction of partial anomalous pulmonary venous connection should be individualized according to the site of connection of the anomalous pulmonary veins and the location of the atrial defect to minimize undesirable postoperative sequelae often associated with other methods of repair.
Similar articles
-
An alternative method for repair of partial anomalous pulmonary venous connection to the superior vena cava.Ann Thorac Surg. 1984 Dec;38(6):601-5. doi: 10.1016/s0003-4975(10)62317-x. Ann Thorac Surg. 1984. PMID: 6508415
-
Partial anomalous pulmonary venous connection to the superior vena cava.Ann Thorac Surg. 1995 Dec;60(6 Suppl):S614-7. doi: 10.1016/0003-4975(95)00854-3. Ann Thorac Surg. 1995. PMID: 8604948
-
[Superior vena cava-right atrial appendage direct anastomosis for repair of partial anomalous pulmonary venous connection to superior vena cava].Kyobu Geka. 1994 Apr;47(4):307-10. Kyobu Geka. 1994. PMID: 8152179 Japanese.
-
[Techniques of correction of partial right abnormal pulmonary venous return associated with atrial septal defect].Arch Mal Coeur Vaiss. 1996 Jul;89(7):857-63. Arch Mal Coeur Vaiss. 1996. PMID: 8869247 Review. French.
-
A Review of the Surgical Management of Anomalous Connection of the Right Superior Caval Vein to the Morphologically Left Atrium and Biatrial Drainage of Right Superior Caval Vein.World J Pediatr Congenit Heart Surg. 2020 Jul;11(4):466-484. doi: 10.1177/2150135120912677. World J Pediatr Congenit Heart Surg. 2020. PMID: 32645787 Review.
Cited by
-
Midterm postoperative outcomes of different types of surgical reconstruction of sinus venosus atrial septal defects with anomalous pulmonary venous connection: The Results of Prospective Cohort Study.Health Sci Rep. 2022 Dec 22;6(1):e990. doi: 10.1002/hsr2.990. eCollection 2023 Jan. Health Sci Rep. 2022. PMID: 36579156 Free PMC article.
-
Early and Late Outcomes of the Warden and Modified Warden Procedure.Ann Thorac Surg. 2022 Nov;114(5):1723-1729. doi: 10.1016/j.athoracsur.2022.03.032. Epub 2022 Mar 26. Ann Thorac Surg. 2022. PMID: 35351424 Free PMC article.
-
Robotic-assisted two-patch repair of right partial anomalous pulmonary venous connection and sinus venosus defect.JTCVS Tech. 2020 Aug 14;4:262-264. doi: 10.1016/j.xjtc.2020.08.008. eCollection 2020 Dec. JTCVS Tech. 2020. PMID: 34318037 Free PMC article. No abstract available.
-
Lung cancer with partial anomalous pulmonary venous connection in a different lobe: a case report.J Cardiothorac Surg. 2021 May 1;16(1):122. doi: 10.1186/s13019-021-01505-y. J Cardiothorac Surg. 2021. PMID: 33933094 Free PMC article.
-
Novel technique of repairing right partial anomalous pulmonary venous connection with intact atrial septum using in situ interatrial septum as a flap in a 68-year-old-woman: a case report.J Cardiothorac Surg. 2020 Sep 25;15(1):269. doi: 10.1186/s13019-020-01313-w. J Cardiothorac Surg. 2020. PMID: 32977845 Free PMC article.