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Obstructed total anomalous pulmonary veins

Tariq Alam, Hidayatullah Hamidi, Mer Mahmood Shah Hoshang
Total anomalous pulmonary venous connection (TAPVC) is a rare congenital anomaly of the pulmonary veins drainage. In this entity, the pulmonary veins, instead of draining to left atrium, connect abnormally to the systemic venous circulation. A right-to-left shunt is obligatory for survival. Based on its type and degree of pulmonary venous obstruction, TAPVC may result in pulmonary hypertension and congestive heart failure. In severe cases, urgent diagnosis and surgical correction is essential to reduce morbidity and mortality...
September 2016: Radiology case reports
Marc Figueras-Coll, Anna Sabaté-Rotés, Noemí Cañete-Abajo, Raúl Felipe Abella
No abstract text is available yet for this article.
November 15, 2016: International Journal of Cardiology
Taiyu Hayashi, Katsusuke Ozawa, Rika Sugibayashi, Seiji Wada, Hiroshi Ono
We report a fetal case of double outlet right ventricle, mitral atresia, and intact atrial septum. Although the pulmonary veins were connected to the left atrium, pulmonary venous blood drained into the right superior vena cava via the stenotic levoatriocardinal vein (LACV), which resulted in a circulation resembling total anomalous pulmonary venous connection (TAPVC) with pulmonary venous obstruction. Since the pulmonary veins were connected to both the stenotic LACV and the "dead-end" left atrium, the pulmonary venous flow had a to-and-fro pattern along with atrial relaxation and contraction...
July 2016: Pediatrics International: Official Journal of the Japan Pediatric Society
W K Lim, M C Leong, H Samion
A 1.7 kg infant with obstructed supracardiac total anomalous pulmonary venous drainage (TAPVD) presented with severe pulmonary hypertension secondary to vertical vein obstruction. The child, in addition, had a large omphalocele that was being managed conservatively. The combination of low weight, unoperated omphalocele, and severe pulmonary hypertension made corrective cardiac surgery very high-risk. Therefore, transcatheter stenting of the stenotic vertical vein, as a bridge to corrective surgery was carried out...
May 2016: Annals of Pediatric Cardiology
Efrén Martinez-Quintana, Fayna Rodríguez-González
The goal of total anomalous pulmonary venous connection repair is to obtain an unobstructed communication between the pulmonary veins and the left atrium and removing intracardiac shunting. However, pulmonary venous obstruction orstenosis may be seen in 5-10% of patients, is usually evident in the first 6 months following surgery and may lead to pulmonary congestion, pulmonary arterial hypertension, and late mortality. In such cases, early intervention may be indicated before irreversible secondary changes occur...
January 2016: Pneumologia: Revista Societății Române de Pneumologie
Milind S Phadke, Swapnil D Mate, Prafulla G Kerkar
A 17-year-old female presented with mild cyanosis. Imaging showed supracardiac total anomalous pulmonary venous connections with a vertical vein travelling between the left pulmonary artery and the left bronchus with significant obstruction. There was a huge post-stenotic aneurysm of the vertical vein.
June 2016: Cardiology in the Young
Anupama K Nair, Sitaraman Radhakrishnan, Krishna S Iyer
In this study, we present the case of a neonate with obstructed infracardiac total anomalous pulmonary venous connection with severe pulmonary hypertension and a patent ductus arteriosus with right-to-left shunting. The patient had an unusual finding of pandiastolic flow reversal in the upper descending thoracic aorta. He underwent emergency surgical re-routing of the pulmonary veins to the left atrium, and postoperative echocardiography showed disappearance of the descending aortic flow reversal. We hypothesise that in severely obstructed total anomalous pulmonary venous connection the left ventricular output may be extremely low, resulting in flow reversal in the descending aorta...
June 2016: Cardiology in the Young
Neelam Aggarwal, Shrinivas Gadhinglajkar, Rupa Sreedhar, Baiju S Dharan, Keerthi Chigurupati, Saravana Babu
OBJECTIVE: Review of intraoperative anesthetic challenges and the role of transesophageal echocardiography in children with sinus venosus atrial septal defect and partial anomalous pulmonary venous drainage undergoing Warden repair. DESIGN: A retrospective observational case series. METHODOLGY: Pediatric patients who underwent Warden repair between October 2011-September 2015 were recruited. Their preoperative clinical details, anesthetic techniques, intraoperative TEE findings and postoperative events were recorded from the medical records...
April 2016: Annals of Cardiac Anaesthesia
Hiroki Ito, Masaya Murata, Yujiro Ide, Mikio Sugano, Kazuyoshi Kanno, Kenta Imai, Motonori Ishido, Ryohei Fukuba, Kisaburo Sakamoto
OBJECTIVES: Fontan candidates with mixed totally anomalous pulmonary venous connection often have postoperative pulmonary venous obstruction after cavopulmonary anastomosis. Because some pulmonary venous obstructions have no intimal hypertrophy at reoperation, we considered such pulmonary venous obstructions to be caused by 3D deformities arising from dissection or mobilization of the vessels, and hypothesized that keeping the pulmonary venous branches in a natural position could avoid such obstruction...
May 2016: Interactive Cardiovascular and Thoracic Surgery
Hyun-Jin Jung, Ji Hyun Bang, Chun-Soo Park, Jeong-Jun Park, Yu-Mi Im, Tae-Jin Yun
Indications of sutureless repair (SR) for pulmonary vein anomalies have evolved from re-operational SR for pulmonary vein stenosis after the repair of total anomalous pulmonary venous drainage (TAPVD) to primary SR for TAPVD associated with right atrial isomerism or isolated TAPVD with small individual pulmonary veins (IPVs) and an unfavorable pulmonary vein anatomy. We sought to determine whether small IPVs outgrow somatic growth after primary SR. Between 2004 and 2013, 21 children underwent primary SR for TAPVD: 13 with a functionally single ventricle, 11 with right atrial isomerism, six with isolated TAPVD, and 13 with a pulmonary venous obstruction...
February 2016: Pediatric Cardiology
Tomoyuki Iwase, Junichi Koizumi, Hitoshi Okabayashi, Akio Ikai
A simple total anomalous pulmonary venous connection (TAPVC) coexisting with a persistent left superior vena cava (PLSVC) is extremely rare. Connection of the PLSVC with the coronary sinus behind the left atrium induces coronary sinus dilatation. This reduces the free posterior wall space to which the common pulmonary vein is anastomosed for repairing the anomalous connection. Postoperative recurrent pulmonary venous obstruction (PVO) is the most important complication. To prevent PVO, sufficient tension-free anastomosis is necessary...
December 2015: Interactive Cardiovascular and Thoracic Surgery
Mauro Lo Rito, Tamadhir Gazzaz, Travis Wilder, Arezou Saedi, Devin Chetan, Glen S Van Arsdell, Christopher A Caldarone, Shi-Joon Yoo, Osami Honjo
BACKGROUND: We hypothesized that primary sutureless (SL) repair of total anomalous pulmonary venous drainage (TAPVD) may have a lower incidence of postrepair pulmonary vein obstruction (PVO) and different modes of PVO compared with standard repair (SR). METHODS: One hundred ninety-five patients who underwent TAPVD repair (1990 to 2012) with the exception of congenital pulmonary vein stenosis, isomerism, and single-ventricle anomalies were included. Survival, reintervention, incidence, degree of PVO were compared between groups...
August 2015: Annals of Thoracic Surgery
Changping Gan, Peng Ji, Ke Lin, Yuan Feng
Pulmonary venous obstruction after the repair of total anomalous pulmonary venous connection is a serious complication. Transcatheter interventional treatment is a palliative choice to defer the timing of surgery; however, penetrating through the patched atrial septum may be difficult. We report a technique for pulmonary venous obstruction after mixed-type total anomalous pulmonary venous connection repair using balloon dilatation of the pulmonary veins through a novel hybrid approach.
July 2015: Journal of Cardiac Surgery
Alper Güzeltaş, İbrahim Cansaran Tanıdır, Taner Kasar
No abstract text is available yet for this article.
April 2015: Anatolian Journal of Cardiology
Roger W Byard, John D Gilbert
Total anomalous pulmonary venous connection (TAPVC), where the pulmonary venous circulation drains into the systemic venous circulation rather than into the left atrium, may present a number of problems at autopsy. A 5-week-old infant is reported who died suddenly and unexpectedly who was found at autopsy to have infradiaphragmatic TAPVC into the portal vein. The only associated anomalies were a tri-lobed left lung, a patent ductus arteriosus, and drainage of the inferior vena cava into the both the right and left atria...
September 2005: Forensic Science, Medicine, and Pathology
Jayapadman Bhaskar, John C Galati, Paul Brooks, Guido Oppido, Igor E Konstantinov, Christian P Brizard, Yves d'Udekem
OBJECTIVES: To identify determinants of adverse outcomes in patients with atrial isomerism. METHODS: Determinants of survival were analyzed for the group as a whole as well as separately for left and right atrial isomerism. RESULTS: There were 78 cases with right and 104 with left atrial isomerism. Nineteen patients were not offered surgery; 49 (47%) of those with left atrial isomerism and 60 (77%) with right atrial isomerism were directed to single ventricle palliation...
June 2015: Journal of Thoracic and Cardiovascular Surgery
Ramkumar Dhanasekaran, Ranjith B Karthekeyan, Mahesh Vakamudi
Cardiac tamponade following central line in a neonate is rare and an uncommon situation; however, it is potentially reversible when it is diagnosed in time. We report a case of cardiac tamponade following central line insertion. A 10-day-old 2.2 kg girl operated for obstructed total anomalous pulmonary venous connections had neckline slipped out during extubation. Attempted cannulations of right femoral vein were unsuccessful. At the end of the left internal jugular vein cannulaton, there was a sudden cardiorespiratory arrest...
November 2014: Indian Journal of Anaesthesia
W K Lim, M N L Wong, S K Tan
A late preterm newborn baby presented with respiratory distress and increasing cyanosis within 2 hours of birth. Bedside transthroracic echocardiography showed a critically obstructed vertical vein in a supracardiac total anomalous pulmonary venous drainage (TAPVd). Emergency stenting of the vertical vein was successfully performed at 24 hours of life.
June 2014: Medical Journal of Malaysia
Takaya Hoashi, Koji Kagisaki, Kenichi Kurosaki, Masataka Kitano, Isao Shiraishi, Hajime Ichikawa
The aim of this study was to review the surgical outcomes of conventional repair in patients with total anomalous pulmonary venous connection (TAPVC). Between 1999 and 2012, 46 patients underwent conventional TAPVC repair; of those, 14 required emergent surgery within the first 24 h after their birth for coexisting intrinsic obstruction in pulmonary venous drainage pathway (Group 1). The remaining 32 were operated on after the first day of life and were divided into two groups: with (Group 2, n = 10) and without (Group 3, n = 22) subsequently progressed pulmonary venous obstruction (PVO) after birth...
February 2015: Pediatric Cardiology
Kevin Todd Dyer, Anthony Marcus Hlavacek, Felix Gabriel Meinel, Carlo Nicola De Cecco, Andrew Douglas McQuiston, Uwe Joseph Schoepf, Nicholas Peter Pietris
Pulmonary venous anomalies comprise a wide spectrum of anatomical variations and their clinical presentations may vary from the relatively benign single partial anomalous pulmonary venous connection (PAPVC) to the critical obstructed total anomalous pulmonary venous connection (TAPVC). We briefly review the common anomalies encountered, while highlighting the utility that computed tomographic angiography (CTA) provides for this spectrum of extracardiac vascular malformations and connections. CTA has established itself as an invaluable imaging modality in these patients...
September 2014: Pediatric Radiology
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