Correction of total anomalous pulmonary venous connection of the cardiac type

R. Aeba, T. Katogi, S. Takeuchi, S. Kawada

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

Surgical treatment of the cardiac type of total anomalous pulmonary venous connection requires special techniques. The treatment and outcome in 17 consecutive patients who had undergone primary repairs of the cardiac type between 1965 and 1996 were reviewed. The median age was 3 months and median weight 4.2 kg. The connection was the coronary sinus in ten patients, and the right atrium in six. Interatrial communication was routinely augmented. The right atrial cavity was partitioned using a patch to direct the anomalous pulmonary veins into the left atrium through the atrial septal defect in the first 13 patients. In the last four patients, the free wall flap of the right atrium was developed as a neoseptum. There were three early postoperative deaths during the early period of conventional repair. Two patients developed residual or recurrent diffuse obstruction in the individual lobar veins; reoperation to relieve the obstruction was attempted but unsuccessful. One sudden death occurred in a patient with occasional heart block. Ten survivors have been asymptomatic during follow-up, but two incomplete heart blocks and one atrial flutter were noted among patients who underwent conventional repair. The right atrial wall flap technique was not associated with any mortality or morbidity, such as arrhythmia and recurrent pulmonary vein stenosis during 12 to 63 months of postoperative obstruction. In conclusions, a flap technique using the right atrial wall appears to be a promising method to decrease the incidence of supraventricular arrhythmias and pulmonary vein drainage obstruction following repair of the cardiac type.

Original languageEnglish
Pages (from-to)50-57
Number of pages8
JournalCardiovascular Surgery
Volume6
Issue number1
DOIs
Publication statusPublished - 1997 Dec

Fingerprint

Lung
Heart Atria
Heart Block
Pulmonary Veins
Cardiac Arrhythmias
Atrial Flutter
Coronary Sinus
Atrial Heart Septal Defects
Free Tissue Flaps
Patient Rights
Sudden Death
Reoperation
Survivors
Drainage
Veins
Communication
Morbidity
Weights and Measures
Mortality
Incidence

Keywords

  • Flap technique
  • Pulmonary vein drainage
  • Supraventricular arrhythmia
  • Total anomalous pulmonary venous connection

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging
  • Surgery

Cite this

Correction of total anomalous pulmonary venous connection of the cardiac type. / Aeba, R.; Katogi, T.; Takeuchi, S.; Kawada, S.

In: Cardiovascular Surgery, Vol. 6, No. 1, 12.1997, p. 50-57.

Research output: Contribution to journalArticle

Aeba, R. ; Katogi, T. ; Takeuchi, S. ; Kawada, S. / Correction of total anomalous pulmonary venous connection of the cardiac type. In: Cardiovascular Surgery. 1997 ; Vol. 6, No. 1. pp. 50-57.
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