Visualization of pulmonary vein obstruction by pulmonary artery wedge injection and documentation by pressure tracings: report of one case with persistent wheezing following correction of total anomalous pulmonary venous connection

1995 ◽  
Vol 49 (2) ◽  
pp. 167-172 ◽  
Author(s):  
Meng-Luen Lee ◽  
Jou-Kou Wang ◽  
Hung-Chi Lue
Keyword(s):  
Pulmonary Artery ◽  
Pulmonary Vein ◽  
Anomalous Pulmonary Venous Connection ◽  
Pulmonary Vein Obstruction

scholarly journals The Research on Operation of Obstructed Total Anomalous Pulmonary Venous Connection in Neonates

2014 ◽  
Vol 2014 ◽  
pp. 1-4
Author(s):  
Zheng Jinghao ◽  
Gao Botao ◽  
Xu Zhiwei ◽  
Liu Jinfeng
Keyword(s):  
Pulmonary Vein ◽  
Heart Function ◽  
Surgical Techniques ◽  
Emergency Operation ◽  
Careful Monitoring ◽  
Risk Of Mortality ◽  
Accurate Preoperative Diagnosis ◽  
Anomalous Pulmonary Venous Connection ◽  
Pulmonary Vein Obstruction

Objectives. Total anomalous pulmonary venous connection (TAPVC) is a rare congenital heart disease. This study aimed to evaluate the outcomes of TAPVC repair in neonates, controlling for anatomic subtypes and surgical techniques.Methods. Between 1997 and 2013, 88 patients (median age: 16 days) underwent repair for supracardiac (31), cardiac (18), infracardiac (36), or mixed (3) TAPVC. All the patients underwent emergency operation due to obstructed drainage. Supracardiac and infracardiac TAPVC repair included a side-to-side anastomosis between the pulmonary venous confluence and left atrium. Coronary sinus unroofing was preferred for cardiac TAPVC repair.Results. The early mortality rate was 2.3% (2/88 patients). The echocardiogram showed no obstruction in the pulmonary vein anastomosis, and flow rate was 1.1–1.42 m/s in the 3-year follow-up period.Conclusions. The accurate preoperative diagnosis, improved protection of heart function, use of pulmonary vein tissue to anastomose and avoid damage of the pulmonary vein, and delayed sternum closure can reduce the risk of mortality. The preoperative severity of pulmonary vein obstruction, the timing of the emergency operation, and infracardiac or mixed-type TAPVC can affect prognosis. Using our surgical technique, the TAPVC mortality among our patients was gradually reduced with remarkable results. However, careful monitoring of the patient with pulmonary vein restenosis and the timing and method of reoperation should also be given importance.

scholarly journals Emergency surgical treatment of total anomalous pulmonary venous connection

2021 ◽  
Author(s):  
Wu Yongtao ◽  
Xiangming Fan ◽  
Chen Li ◽  
Dong Wang ◽  
Junwu Su ◽  
...  
Keyword(s):  
Risk Factors ◽  
Surgical Treatment ◽  
Pulmonary Vein ◽  
Perioperative Period ◽  
Post Discharge ◽  
Aortic Cross Clamp Time ◽  
Late Mortality ◽  
Anomalous Pulmonary Venous Connection ◽  
Pulmonary Vein Obstruction

Background: This study explores the strategy and effect of emergency surgical treatment for total anomalous pulmonary venous connection (TAPVC). Methods: From March 2009 to February 2020, 78 patients with TAPVC underwent emergency surgical correction. There were 51 males and 27 females. The median age was 39.5 days, and the median weight was 4.0 kg. The preoperative percutaneous oxygen saturation was 80.8±4.5%. Results: Of the cases investigated, seven died during the perioperative period, 16 had delayed chest closure, 19 had early pulmonary vein obstruction, two had secondary tracheal intubation, one had a brain complication, and one had third-degree atrioventricular block. Low weight, younger age, cardiopulmonary bypass time, and aortic cross-clamp time were identified as risk factors for early mortality. During the follow-up from four to 137 months, 12 cases did not respond to follow up. Ten patients died within one to six months after discharge. One patient underwent reoperation due to pulmonary vein obstruction. The longer hospital stays after operation and intensive care unit time were identified as risk factors for late mortality. Conclusions: Emergency surgery for severe TAPVC patients after admission had achieved good results in the near future. Prenatal diagnosis should be strengthened to save more patients. The higher late mortality rate indicates that such patients should strengthen post-discharge management to reduce the occurrence of post-discharge deaths.

scholarly journals The prevalence of pulmonary hypertension assessed using the pulmonary vein‐to‐right pulmonary artery ratio and its association with survival in West Highland white terriers with canine idiopathic pulmonary fibrosis

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Elodie Roels ◽  
Aline Fastrès ◽  
Anne-Christine Merveille ◽  
Géraldine Bolen ◽  
Erik Teske ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Idiopathic Pulmonary Fibrosis ◽  
Pulmonary Fibrosis ◽  
Pulmonary Artery ◽  
Pulmonary Vein ◽  
Survival Data ◽  
Study Objective ◽  
Time Motion ◽  
Co Morbidity ◽  
Right Pulmonary Artery

Abstract Background Pulmonary hypertension (PH) is a known co-morbidity in West Highland white terriers (WHWTs) affected with canine idiopathic pulmonary fibrosis (CIPF). The pulmonary vein-to-right pulmonary artery ratio (PV/PA) has recently been described for the detection of pre-capillary PH in dogs. The objective of the present study was to estimate the prevalence of PH at diagnostic, in WHWTs affected with CIPF, by using PV/PA, in comparison with a group of healthy breed-matched controls (CTRLs). Additional study objective was to explore whether the presence of PH at initial diagnosis of CIPF impacted survival time in dogs treated with sildenafil. Results Twenty-five client-owned WHWTs presented with CIPF and 19 CTRLs were included in the study. PV/PA in either two-dimensional mode (2D) or time-motion mode or both were measured from cineloops in each dog. Dogs were classified according to PV/PA value into non/mild PH (PV/PA measured in 2D ≥ 0.7) or moderate/severe PH (PV/PA < 0.7). Survival data of WHWTs affected with CIPF were extracted from medical record to assess association between presence of PH at diagnosis and outcome. 60 % overall prevalence for moderate/severe PH was estimated in this cohort of WHWTs presented with CIPF vs. 5 % in CTRLS (P = 0.0002). The presence of moderate/severe PH at initial presentation was not associated with survival. Conclusions Results of the present study confirm a high prevalence of PH at diagnosis in WHWTs affected with CIPF and highlight the utility of PV/PA as a non-invasive surrogate for assessment of PH in this population.

Mixed type of total anomalous pulmonary venous connection with hemi-pulmonary vein atresia

1993 ◽  
Vol 56 (6) ◽  
pp. 1399-1401 ◽  
Author(s):  
Yasuhisa Shimazaki ◽  
Susumu Nakano ◽  
Hiroshi Kato ◽  
Shigeaki Ohtake ◽  
Seiichiro Ikawa ◽  
...  
Keyword(s):  
Pulmonary Vein ◽  
Mixed Type ◽  
Anomalous Pulmonary Venous Connection
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