Fate of the unligated vertical vein after surgical correction with total anomalous pulmonary venous connection in early infancy

From May 1995 through October 2001, 19 infants less than 90 days old underwent surgical correction of total anomalous pulmonary venous connection. In 15 babies with isolated total anomalous pulmonary venous connection, there was one operative death. In 4 with complex anomalies, there were 2 operative deaths. The vertical vein was not ligated in 6 cases for various reasons. Two patients died during reoperation for early pulmonary venous obstruction. In the late follow-up, 2 babies required reoperation for late anastomotic stricture; one needed additional balloon dilatation. Of the 14 surviving patients, one had a small residual gradient and infrequent supraventricular tachycardia, the others were asymptomatic and without gradients. Surgical correction of total anomalous pulmonary venous connection can be carried out in early infancy with low mortality and morbidity. However, associated complex cardiac anomalies and small caliber pulmonary arteries and veins carry higher risks. Recurrent pulmonary venous obstruction and diffuse pulmonary vein stenosis are causes of early reoperation and poor surgical outcome.

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Supracardiac Total Anomalous Pulmonary Venous Connection

KYAMC Journal ◽

10.3329/kyamcj.v10i2.42792 ◽

2019 ◽

Vol 10 (2) ◽

pp. 118-121

Author(s):

ASM Shariful Islam ◽

Md Lutfar Rahman ◽

Jayanta Kumar Saha ◽

Mohammad Arifur Rahman ◽

Mezanur Rahman ◽

...

Keyword(s):

Left Atrium ◽

Ductus Arteriosus ◽

Pulmonary Veins ◽

Hypertensive Crisis ◽

Right Heart Failure ◽

Residual Shunt ◽

Low Cardiac Output Syndrome ◽

Vertical Vein ◽

Autologous Pericardial Patch ◽

Anomalous Pulmonary Venous Connection

Total anomalous pulmonary venous connection (TAPVC) is a rare congenital heart disease in which there is developmental absence of connection of all four pulmonary veins with the left atrium. To report a rare case and share our experience in surgery and post-operative management for supracardiac TAPVC. Patient with supracardiac TAPVC with atrial septal defect (ASD) secundum variety with rudimentary patent ductus arteriosus (PDA) underwent rechanneling of pulmonary veins to left atrium (LA) with gluteryldehye treated autologous pericardial patch closure of ASD with ligation of ascending vertical vein and ligation of rudimentary PDA.Post operatively there were no events of pulmonary hypertensive crisis, low cardiac output syndrome, right heart failure or conduction defect were observed and echocardiogram showed adequate pulmonary venous drainage with no residual shunt across the interatrial septum. Marked development in surgical results of TAPVC has been observed in recent years with declining mortality rate from 65% in early sixties to 5% in current surgical scenerio. KYAMC Journal Vol. 10, No.-2, July 2019, Page 118-121

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Surgical correction of coarctation in early infancy: Does surgical technique influence the result?

The Annals of Thoracic Surgery ◽

10.1016/0003-4975(91)90954-o ◽

1991 ◽

Vol 52 (3) ◽

pp. 594-600 ◽

Cited By ~ 34

Author(s):

Bruno J. Messmer ◽

Carmine Minale ◽

Eberhard Mühler ◽

Götz v. Bernuth

Keyword(s):

Surgical Technique ◽

Early Infancy ◽

Surgical Correction

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Outcome of surgical correction of total anomalous pulmonary venous connection at Narayana Hrudayalaya

Indian Journal of Thoracic and Cardiovascular Surgery ◽

10.1007/s12055-004-0351-x ◽

2004 ◽

Vol 20 (1) ◽

pp. 20-20

Author(s):

R Shetty ◽

Binoy ◽

R Sharma ◽

C John ◽

M Sunitha ◽

...

Keyword(s):

Surgical Correction ◽

Anomalous Pulmonary Venous Connection

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Unligated vertical vein presenting as a large atrio-portal shunt in adulthood: a case report

Journal of Surgical Case Reports ◽

10.1093/jscr/rjaa377 ◽

2020 ◽

Vol 2020 (10) ◽

Author(s):

Georgia R Layton ◽

Marinos Koulouroudias ◽

Eyad Issa ◽

Steve Jepson ◽

Antonio F Corno ◽

...

Keyword(s):

Case Report ◽

Portal Vein ◽

Adult Patient ◽

Pulmonary Veins ◽

Systemic Circulation ◽

Review Of The Literature ◽

Right Heart ◽

Vertical Vein ◽

Initial Surgery ◽

Anomalous Pulmonary Venous Connection

Abstract A 28-year-old male with infra-cardiac totally anomalous pulmonary venous connection (TAPVC) repaired as new-born presented in adulthood with right heart strain and very large left atrium to portal vein vessel. Residual connections from pulmonary veins to systemic circulation are believed to represent persistent ‘vertical veins’ (VV) not ligated at the time of the initial surgery. In our patient, since endovascular occlusion was not judged suitable, the anomalous vessel was surgically ligated and resected. A review of the literature failed to find such a procedure reported in an adult patient and analyzed the intra-operative ligation of VV during repair of TAPVC.

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Intrapulmonary Vertical Vein Associated With an Infracardiac Type of Totally Anomalous Pulmonary Venous Connection

The Annals of Thoracic Surgery ◽

10.1016/j.athoracsur.2014.03.056 ◽

2014 ◽

Vol 98 (1) ◽

pp. e7-e9 ◽

Cited By ~ 2

Author(s):

Yutaka Imoto ◽

Yoshie Ochiai ◽

Kunitaka Jooh

Keyword(s):

Vertical Vein ◽

Anomalous Pulmonary Venous Connection

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Is Vertical Vein Ligation Necessary in Repair of Total Anomalous Pulmonary Venous Connection?

The Annals of Thoracic Surgery ◽

10.1016/s0003-4975(97)00452-9 ◽

1997 ◽

Vol 64 (1) ◽

pp. 23-29 ◽

Cited By ~ 33

Author(s):

Jeffrey T Cope ◽

David Banks ◽

Nancy L McDaniel ◽

Kimberly S Shockey ◽

Stanton P Nolan ◽

...

Keyword(s):

Vertical Vein ◽

Anomalous Pulmonary Venous Connection

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Hepatic necrosis following repair of totally anomalous pulmonary venous connection

Cardiology in the Young ◽

10.1017/s1047951107000832 ◽

2007 ◽

Vol 17 (4) ◽

pp. 435-437 ◽

Cited By ~ 1

Author(s):

Abigail Fischer ◽

Fredrick Long ◽

Timothy F. Feltes

Keyword(s):

Hepatic Failure ◽

Hepatic Necrosis ◽

Venous System ◽

Surgical Correction ◽

Right Atrial ◽

Portal Venous System ◽

Associated Anomalies ◽

The Right ◽

Anomalous Pulmonary Venous Connection ◽

Asplenia Syndrome

AbstractWe report a case of an infant with asplenia syndrome, isomerism of the right atrial appendages, and totally anomalous pulmonary venous connection who experienced hepatic failure following surgical correction of the anomalous pulmonary venous connection. We describe associated anomalies of the portal venous system.

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