Atrial Septal Displacement for Repair of Anomalous Pulmonary Venous Return Into the Right Atrium
| Autor: | Hirofumi Tomimatsu, Kazuhiro Seo, Yusuke Iwata, Masatsugu Terada, Takeshi Hiramatsu, Yoshinori Takanashi, Yasuharu Imai, Shuichi Hoshino |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Heart Defects
Congenital Pulmonary and Respiratory Medicine medicine.medical_specialty Vena Cava Superior Critical Care Foramen secundum Septum secundum Heart Septal Defects Atrial Ventricular Outflow Obstruction Postoperative Complications Heart Rate Internal medicine Heart Septum Humans Anomalous pulmonary venous return Medicine Heart Atria cardiovascular diseases Postoperative Care business.industry Infant Newborn Central venous pressure Infant Arrhythmias Cardiac Venous blood Venous Obstruction Echocardiography Pulmonary Veins Child Preschool cardiovascular system Cardiology Female Surgery Septum primum Venae cavae Cardiology and Cardiovascular Medicine business Pericardium Follow-Up Studies |
| Zdroj: | The Annals of Thoracic Surgery. 65:1110-1114 |
| ISSN: | 0003-4975 |
| DOI: | 10.1016/s0003-4975(97)01419-7 |
| Popis: | Background . In the repair of anomalous connection of the pulmonary veins to the right atrium, the use of a baffle of pericardium to divert the pulmonary venous blood into the left atrium could cause pulmonary venous obstruction as a result of thickening of the pericardial patch. Anomalous pulmonary venous drainage to the right atrium caused by malposition of the atrial septum primum can be repaired by displacing the shifted septum primum to the normal position. Methods . In 5 patients with total (n = 2) or partial (n = 3) anomalous pulmonary venous drainage into the right atrium, the septum primum was shifted toward the left atrium and the pulmonary veins drained into the anatomic right atrium despite their normal connection with the posterior wall of the left atrium. This method consisted of incision of the posterior edge of the atrial septum primum and displacement of the incised atrial septum between the anomalous pulmonary veins and both venae cavae. No patch was used. Results . Postoperative echocardiography showed a wide pathway from the pulmonary veins to the left atrium with no stenotic portions. No atrial arrhythmias occurred after the operation. Conclusions . This technique may be advantageous because it allows for future growth of the route of the pulmonary venous pathway and avoids postoperative supraventricular arrhythmias. |
| Databáze: | OpenAIRE |
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