Totally anomalous pulmonary venous connection directly to the superior caval vein

Although the occurrence of bilateral superior caval veins (SCVs) is not unusual, persistence of the left SCV with atretic right SCV is extremely uncommon in the setting of normal visceroatrial arrangement. We report such a case that was also associated with anomalous pulmonary venous connection of the right pulmonary veins to the solitary left SCV.

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Horseshoe lung associated with anomalous pulmonary venous connection without pulmonary hypoplasia

Cardiology in the Young ◽

10.1017/s1047951100011550 ◽

1995 ◽

Vol 5 (1) ◽

pp. 91-93 ◽

Cited By ~ 3

Author(s):

Antonio Corno ◽

Luca Rosti ◽

Ivan Machado

Keyword(s):

Ventricular Septal Defect ◽

Congenital Malformation ◽

Septal Defect ◽

Pulmonary Hypoplasia ◽

Caval Vein ◽

Superior Caval Vein ◽

Horseshoe Lung ◽

Anomalous Pulmonary Venous Connection

SummaryHorseshoe lung is an exceedingly rare congenital malformation, characterized by unilateral pulmonary hypoplasia together with a midline isthmus producing fusion of the tissues of the lower lobes. It is frequently associated with other cardiac and extracardiac anomalies. We report an infant with a variant of the horseshoe lung with partial anomalous venous connection of intracardiac type, ventricular septal defect, and persistent left superior caval vein. There was no pulmonary hypoplasia.

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The Warden procedure for partially anomalous pulmonary venous connection to the superior caval vein

Cardiology in the Young ◽

10.1017/s1047951104001118 ◽

2004 ◽

Vol 14 (1) ◽

pp. 64-67 ◽

Cited By ~ 27

Author(s):

Daniel J. DiBardino ◽

E. Dean McKenzie ◽

Jeffrey S. Heinle ◽

Jason T. Su ◽

Charles D. Fraser

Keyword(s):

Normal Sinus Rhythm ◽

Sinus Bradycardia ◽

Sinus Node ◽

Heart Association ◽

First Grade ◽

Atrial Pacing ◽

Caval Vein ◽

Superior Caval Vein ◽

Number Of Patients ◽

Anomalous Pulmonary Venous Connection

Purpose:When there is partially anomalous pulmonary venous connection to the superior caval vein, intracardiac repair alone can result in obstruction. Although the Warden procedure involving translocation of the superior caval vein is commonly performed as an alternative to atriocavoplasty, follow-up of a larger number of patients in the modern era is lacking. We report and discuss the experience of a single institution with the Warden procedure for correction of partially anomalous pulmonary venous connection to the superior caval vein.Methods:Since 1995, all 16 patients presenting with partially anomalous pulmonary venous connection to the superior caval vein underwent the Warden procedure at a mean age of 7.1 ± 4.2 years, with a range from 0.2 to 14.3 years, and a mean weight of 24.7 ± 14.0 kg, with a range from 4.1 to 52.9 kg. There were 9 males and 7 females. In 8 patients, we performed 10 concomitant procedures, including closure of an atrial or ventricular septal defect in 7, and advancement of the aortic arch in the other.Results:There were no deaths, and only one episode of postoperative sinus bradycardia with intermittent junctional rhythm, which resolved spontaneously during temporary atrial pacing. All patients were discharged home in normal sinus rhythm at an average of 4.1 ± 2.2 days after the procedure, with a range from 2 to 10 days. All are currently in the first grade of the New York Heart Association up to 5.6 years postoperatively. There is currently no evidence of sinus nodal dysfunction, nor obstruction of the superior caval vein, in any patient.Conclusion:The Warden procedure for partially anomalous pulmonary venous connection to the superior caval vein produces excellent results, preserves the function of the sinus node, and should be routinely considered for the repair of this lesion.

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Echocardiographic diagnosis of totally anomalous pulmonary venous connection to the azygos vein

Cardiology in the Young ◽

10.1017/s1047951100004984 ◽

1999 ◽

Vol 9 (3) ◽

pp. 305-309 ◽

Cited By ~ 4

Author(s):

Anna Maria Musolino ◽

Giuseppe Santoro ◽

Bruno Marino ◽

Roberto Formigari ◽

Paolo Guccione ◽

...

Keyword(s):

Venous Blood ◽

Azygos Vein ◽

Caval Vein ◽

Superior Caval Vein ◽

Heart Malformation ◽

Precise Diagnosis ◽

Right Pulmonary Artery ◽

The Right ◽

Anomalous Pulmonary Venous Connection ◽

Axis View

AbstractTotally anomalous pulmonary venous connection to the azygos vein is a rare congenital heart malformation in which all the pulmonary venous blood returns anomalously to the azygos vein. Among 111 consecutive patients with totally anomalous pulmonary venous connection undergoing surgical correction at our institution between June 1982 and September 1997, this malformation was present in seven cases. By echocardiography, using a subxyphoid short-axis view at the atrial level and a modified suprasternal sagittal view, the malformation was diagnosed when the pulmonary venous confluence was traced posteriorly and superiorly relative to the right pulmonary artery and right bronchus, finally reaching reach the superior caval vein. Totally anomalous pulmonary venous connection to the azygos vein was misdiagnosed in the first two patients, both by echocardiography and angiocardiography. In the subsequent five patients, a precise diagnosis was obtained by echocardiography. Echocardiography, therefore, can be considered an accurate diagnostic tool permitting recognition of totally anomalous pulmonary venous connection to the azygos vein, and permitting corrective surgery without recourse to catheterization and angiography.

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Totally anomalous pulmonary venous connection to superior caval vein after an intracytoplasmic injection of sperm

Cardiology in the Young ◽

10.1017/s1047951109991053 ◽

2009 ◽

Vol 19 (5) ◽

pp. 527-529

Author(s):

Javier Pérez-Lescure Picarzo ◽

David Crespo Marcos

Keyword(s):

Congenital Anomaly ◽

Assisted Reproductive Technology ◽

Right Atrium ◽

Pulmonary Veins ◽

Reproductive Technology ◽

Caval Vein ◽

Superior Caval Vein ◽

Intracytoplasmic Injection ◽

Anomalous Pulmonary Venous Connection

AbstractWe report the occurrence of non-obstructive totally anomalous pulmonary venous connection to the superior caval vein in a child conceived by intracytoplasmic injection of sperm, a type of assisted reproductive technology. Totally anomalous pulmonary venous connection is an uncommon congenital anomaly, in which all the pulmonary veins connect to the morphologically right atrium, or one of its tributaries. To our knowledge, this malformation has not been previously described in a child conceived on the basis of assisted reproductive technology.

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Successful dilation of superior cavel venous obstruction following repair of totally anomalous pulmonary venous connection

Cardiology in the Young ◽

10.1017/s1047951100005928 ◽

1997 ◽

Vol 7 (1) ◽

pp. 88-90

Author(s):

S. Shrivastava ◽

S. Radhakrishnan ◽

Y. Vijaya Chandra

Keyword(s):

Balloon Dilation ◽

Venous Obstruction ◽

Caval Vein ◽

Superior Caval Vein ◽

Anomalous Pulmonary Venous Connection

AbstractWe describe post azygos obstruction of the superior caval vein following repair of a mixed variety of totally anomalous pulmonary venous connection. Balloon dilation was immediately successful, and has provided persistent relief at a follow-up of 20 months.

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High origin of the right coronary artery with partial anomalous pulmonary venous connection to the left superior caval vein in tetralogy of Fallot

Journal of Cardiac Surgery ◽

10.1111/jocs.14976 ◽

2020 ◽

Vol 35 (11) ◽

pp. 3244-3247

Author(s):

Anand K. Mishra ◽

Vikas Kumar ◽

Revanth Maramreddy

Keyword(s):

Coronary Artery ◽

Tetralogy Of Fallot ◽

Right Coronary Artery ◽

Caval Vein ◽

Superior Caval Vein ◽

The Right ◽

Anomalous Pulmonary Venous Connection

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Slow pathway cryoablation in a child with absent right superior caval vein and persistent left superior caval vein draining into the coronary sinus

International Journal of Cardiology ◽

10.1016/j.ijcard.2014.10.141 ◽

2015 ◽

Vol 178 ◽

pp. 178-180

Author(s):

Alfredo Di Pino ◽

Elio Caruso ◽

Placido Gitto ◽

Luca Costanzo ◽

Salvatore Patanè ◽

...

Keyword(s):

Coronary Sinus ◽

Slow Pathway ◽

Caval Vein ◽

Superior Caval Vein

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Long-term outcome after percutaneous closure of persistent left superior caval vein draining into the left atrium: a contrast-enhanced CT study

Cardiology in the Young ◽

10.1017/s1047951117000737 ◽

2017 ◽

Vol 27 (8) ◽

pp. 1550-1556 ◽

Cited By ~ 1

Author(s):

Davide Marini ◽

Matteo Castagno ◽

Michele Millesimo ◽

Francesca Ferroni ◽

Gaetana Ferraro ◽

...

Keyword(s):

Left Atrium ◽

Percutaneous Closure ◽

Caval Vein ◽

Term Outcome ◽

Long Term Outcome ◽

Superior Caval Vein ◽

Contrast Enhanced Ct ◽

Contrast Enhanced ◽

Enhanced Ct

AbstractBackgroundData regarding long-term outcome after percutaneous closure of left superior caval vein draining into the left atrium are lacking. The aim of the present study was to report the long-term follow-up by using contrast-enhanced CT.MethodsIn all, three patients underwent percutaneous closure of left superior caval vein draining into the left atrium between 2005 and 2015. All of them were evaluated clinically and underwent contrast-enhanced CT.ResultsIn one patient, the Amplatzer® Septal Occluder was used. In two patients, the Amplatzer® Vascular Plug type-1 was preferred: the device size/LSVC diameter ratio was 1.7 in the child and 1.2 in the adult. There were no early-onset or long-term onset complications. CT was performed 1, 2, and 10 years after the procedure, respectively. Complete occlusion of the vessel was documented in all. After 10 years since the procedure, CT revealed a persistent trivial residual shunt through the accessory hemiazygos vein in one patient, in whom the device was implanted above its drainage into the left superior caval vein. When an Amplatzer® Vascular Plug type-1 is oversized compared with the venous vessel diameter, it immediately assumes a dog-bone shape that disappears early to regain its shape memory and nominal size.ConclusionsPercutaneous occlusion of left superior caval vein draining into the left atrium has excellent early and long-term outcomes. The optimal implantation of the device is below the drainage of the accessory hemiazygos vein, when present. The device might be oversized compared with the left superior caval vein diameter according to the age of the patient.

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