Partial anomalous pulmonary venous connections∗
| Autor: | C. Walton Lillehei, B.R. Kalke, Ferlic Rm, Robert D. Sellers, Carlson Rg |
|---|---|
| Rok vydání: | 1967 |
| Předmět: |
Adult
Heart Defects Congenital medicine.medical_specialty Adolescent Septum secundum Inferior vena cava Pulmonary vein Electrocardiography Right ventricular hypertrophy Internal medicine medicine Humans cardiovascular diseases Child Vein Aged business.industry Central venous pressure Middle Aged medicine.disease medicine.anatomical_structure medicine.vein Pulmonary Veins Child Preschool cardiovascular system Cardiology Venae cavae Cardiology and Cardiovascular Medicine Right axis deviation business |
| Zdroj: | The American Journal of Cardiology. 20:91-101 |
| ISSN: | 0002-9149 |
| Popis: | Fifty-seven cases of partial anomalous pulmonary venous connections treated surgically at the University of Minnesota Medical Center are reviewed. There was no hospital nor late mortality. The electrocardiographic features seen in partial anomalous pulmonary venous connections are similar to those in isolated secundum type atrial defects and include right axis deviation, incomplete right bundle branch block and right ventricular hypertrophy. The roentgenologic features are also similar in these two conditions, with increase in the central and peripheral pulmonary vasculature, prominence of the hilar vessels and right ventricular enlargement. Occasionally the anomalously connected vessels may be visualized on planigrams or routine roentgenograms. Identification of anomalous pulmonary venous connections during right heart catheterization is frequently possible. This depends on the catheter entering a pulmonary vein from the venae cavae, increase in oxygen content in the venae cavae, angiocardiographic demonstration of the vein, or differential dye-dilution technics. Surgical correction of partial anomalous pulmonary venous connections directs the drainage from these veins through the atrial septal defect. A prosthetic patch is usually used for this purpose except in the rare instance of drainage into the infradiaphragmatic inferior vena cava. In the 6 patients without an atrial septal defect, a defect was created, and a prosthetic patch used to correct the drainage from the anomalous pulmonary venous connections in 5, and the sixth patient had the vein transposed to the left atrium (the scimitar defect). |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|