Two-stage approach for mixed total anomalous pulmonary venous connection

Asian Cardiovasc Thorac Ann. 2016 Feb;24(2):165-6. doi: 10.1177/0218492314549198. Epub 2014 Sep 2.

Abstract

A 4-day-old boy underwent an urgent operation for mixed total anomalous pulmonary venous connection with the left upper pulmonary vein draining into the innominate vein and the other pulmonary veins draining into the coronary sinus. The left upper pulmonary vein was left uncorrected at that time. After periodical follow-up for 5 years, repair of the uncorrected anomalous pulmonary vein was performed. This two-stage operation is a viable option in cases of mixed type total anomalous pulmonary venous connection, leaving the isolated left upper vein uncorrected in the neonatal period, instead of an aggressive full repair.

Keywords: Cardiac surgical procedures; congenital; heart atria; heart defects; pulmonary veins; time factors.

Publication types

  • Case Reports

MeSH terms

  • Brachiocephalic Veins / abnormalities
  • Brachiocephalic Veins / diagnostic imaging
  • Brachiocephalic Veins / physiopathology
  • Brachiocephalic Veins / surgery*
  • Cardiac Surgical Procedures*
  • Coronary Circulation
  • Coronary Sinus / abnormalities
  • Coronary Sinus / diagnostic imaging
  • Coronary Sinus / physiopathology
  • Coronary Sinus / surgery*
  • Hemodynamics
  • Humans
  • Infant, Newborn
  • Male
  • Pulmonary Circulation
  • Pulmonary Veins / abnormalities
  • Pulmonary Veins / diagnostic imaging
  • Pulmonary Veins / physiopathology
  • Pulmonary Veins / surgery*
  • Scimitar Syndrome / diagnosis
  • Scimitar Syndrome / physiopathology
  • Scimitar Syndrome / surgery*
  • Time Factors
  • Tomography, X-Ray Computed
  • Treatment Outcome