Key technical steps in dual-pathway repair of congenital pulmonary vein stenosis

2018 ◽  
Vol 26 (6) ◽  
pp. 498-501
Author(s):  
Gananjay Gopalrao Salve ◽  
Shreepal Ambalal Jain ◽  
Krishnanaik Shivaprakash
Keyword(s):  
Ventricular Septal Defect ◽  
Pulmonary Vein ◽  
Septal Defect ◽  
Left Atrial Appendage ◽  
Pulmonary Vein Stenosis ◽  
Inferior Pulmonary Vein ◽  
Perimembranous Ventricular Septal Defect ◽  
Dual Pathway ◽  
Vein Stenosis ◽  
Congenital Pulmonary Vein Stenosis

We present the case of a 2-year-old girl with congenital stenosis of the left inferior pulmonary vein associated with a large perimembranous ventricular septal defect. The child underwent repair of the left inferior pulmonary vein with autologous left atrial appendage as a pedicled tube, followed by closure of the ventricular septal defect. Important technical steps to minimize the restenosis rate are highlighted.

Congenital Pulmonary Vein Stenosis with Anomalous Pulmonary Venous Connection

2007 ◽  
Vol 15 (5) ◽  
pp. 438-440 ◽  
Author(s):  
Shin Takabayashi ◽  
Hideto Shimpo ◽  
Kazuto Yokoyama ◽  
Masaki Kajimoto ◽  
Koji Onoda
Keyword(s):  
Pulmonary Vein ◽  
Septal Defect ◽  
Superior Vena ◽  
Vena Cava ◽  
Pulmonary Vein Stenosis ◽  
The Right ◽  
Vein Stenosis ◽  
Anomalous Pulmonary Venous Connection ◽  
Right Lower Lobectomy ◽  
Congenital Pulmonary Vein Stenosis

An 11-month-old boy with congenital pulmonary vein stenosis, partial anomalous pulmonary venous connection, and ventricular septal defect is described. Angiocardiography demonstrated stenosis between the right upper pulmonary vein and high superior vena cava and obstruction of the right lower pulmonary vein. For pulmonary vein stenosis, we performed transverse sutured plasty for the right upper pulmonary vein, followed by right lower lobectomy. In some patients, combined management for pulmonary vein stenosis is effective.

Pulmonary vein stenosis in a child with ventricular septal defect

2013 ◽  
Vol 22 (9) ◽  
pp. 1130-1131
Author(s):  
Sarvesh Pal Singh ◽  
Poonam Malhotra Kapoor ◽  
Velayoudham Devagourou
Keyword(s):  
Ventricular Septal Defect ◽  
Pulmonary Vein ◽  
Septal Defect ◽  
Pulmonary Vein Stenosis ◽  
Vein Stenosis

Abstract 14990: Pulmonary Vein Stenosis After Epicardial Atrial Fibrillation Ablation and Epicardial Left Atrial Appendage Occlusion: A Diagnostic Dilemma and Challenges in Management

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Moghniuddin Mohammed ◽  
Nachiket Apte ◽  
Mohammed Ansari ◽  
Amit Noheria ◽  
Seth Sheldon ◽  
...  
Keyword(s):  
Atrial Fibrillation ◽  
Pulmonary Vein ◽  
Left Atrial ◽  
Left Atrial Appendage ◽  
Atrial Appendage ◽  
Maze Procedure ◽  
Pulmonary Vein Stenosis ◽  
Epicardial Ablation ◽  
Left Atrial Appendage Occlusion ◽  
Vein Stenosis

Background: Pulmonary vein stenosis is a dreaded complication of endocardial atrial fibrillation (AF) ablation but rare after epicardial ablation and has not been reported after epicardial left atrial appendage occlusion (LAAO). Case: A 55-year-old male was referred to our tertiary hospital for management of left superior pulmonary vein (LSPV) stenosis causing dyspnea on exertion. About 2 years prior to presentation, he underwent quadruple coronary artery bypass grafting for non-ST elevation myocardial infarction along with modified Cox-Maze procedure with pulmonary vein and posterior wall isolation as well as epicardial LAAO with AtriClip for history of paroxysmal AF. At our institute, V/Q scan showed ventilation-perfusion mismatch and absent perfusion of the left upper lobe (Figure 1A). Cardiac CT showed persistent LSPV occlusion (Figure 1B). TEE showed atrial appendage occluded with a clip and no flow was observed from LSPV (Figure 1C). After multidisciplinary discussion between cardiology and cardiothoracic surgery teams, surgical approach to remove the AtriClip was deemed futile as it was placed 2 years ago and less likely to result in resolution of stenosis. Thus, an endovascular approach was attempted with left atrial and pulmonary vein angiography showing LSPV to be 100% occluded (Figure 1D). Pulmonary vein recanalization was attempted but was not successful. Conclusion: Our case highlights the importance of recognition of PVS as a possible complication after epicardial LAAO as early intervention can improve patient outcomes. PVS has been previously described with Maze procedure but that patient was successfully treated with catheter-balloon angioplasty. Given 100% occlusion and difficulty with recanalization makes epicardial ablation a less likely cause of occlusion in our case. More careful application of Atriclip protocols might be necessary to prevent this potential complication.

scholarly journals Modified sutureless repair using left atrial appendage flap for acquired left-sided pulmonary vein stenosis

2020 ◽  
Vol 58 (2) ◽  
pp. 395-397
Author(s):  
Hideki Ito ◽  
Masato Mutsuga ◽  
Yoshiyuki Tokuda ◽  
Akihiko Usui
Keyword(s):  
Catheter Ablation ◽  
Pulmonary Vein ◽  
Left Atrial ◽  
Radiofrequency Catheter Ablation ◽  
Left Atrial Appendage ◽  
Atrial Appendage ◽  
Successful Outcome ◽  
Pulmonary Vein Stenosis ◽  
Sutureless Technique ◽  
Vein Stenosis

Abstract Pulmonary vein stenosis is a well-known complication after radiofrequency catheter ablation of atrial fibrillation. Although surgical repair is indicated for younger patients and patients with multiple stenoses, the appropriate procedure for acquired pulmonary vein stenosis has not been established. In this study, we report the successful outcome of our modified sutureless technique using a left atrial appendage flap for left-sided pulmonary vein stenosis after radiofrequency catheter ablation.

Bilateral Congenital Pulmonary Vein Stenosis with a Normal Connection

2008 ◽  
Vol 16 (2) ◽  
pp. 54
Author(s):  
Young Kuk Cho ◽  
Young-Ok Kim ◽  
Woo-Yeon Choi ◽  
Ic Sun Choi ◽  
Dong-Kyun Han ◽  
...  
Keyword(s):  
Pulmonary Vein ◽  
Pulmonary Vein Stenosis ◽  
Normal Connection ◽  
Vein Stenosis ◽  
Congenital Pulmonary Vein Stenosis
Sign in / Sign up

Export Citation Format

Share Document