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Anomalous pulmonary venous connection
Published in Jana Popelová, Erwin Oechslin, Harald Kaemmerer, Martin G St John Sutton, Pavel Žáček, Congenital Heart Disease in Adults, 2008
Jana Popelová, Erwin Oechslin, Harald Kaemmerer, Martin G St John Sutton, Pavel Žáček
In terms of hemodynamics, a partially anomalous pulmonary venous connection causes a left-to-right shunt and right ventricular volume overload. In contrast to a left-to-right shunt in the setting of a defect at the atrial level (e.g. secundum atrial septal defect, superior sinus venosus defect), the shunt is fixed and does not vary according to the diastolic function, or to filling pressures in the right- and left-heart. The diagnosis is established by echocardiography and/or angiography or CT angiogram or MRI. When using transesophageal echocardiography, every effort should always be made to check whether all four pulmonary veins drain into the left atrium (Figures 20.9-20.11). Direct visualization of an anomalous pulmonary venous connection in adulthood can be difficult (Figures 20.1-20.5).
Retrospective Comparison of Endoscopic Versus Open Procedure for Mitral Valve Disease
Published in Journal of Investigative Surgery, 2021
Qin Jiang, Zhilan Wang, Jing Guo, Tao Yu, Xiaoshen Zhang, Shengshou Hu
Minimally invasive MV surgery has been performed with increasing frequency and also evolved over time. Thoracoscopic surgery has been applied in many cardiac conditions, including the closure of congenital heart defects, resection of atrial myxoma, MV procedure as well as anomalous pulmonary venous connection at recent years. The previous study on atrial septal defect closure procedure indicated thoracoscopic surgery provided a better treatment with a less trauma, less bleeding and faster recovery, compared with traditional median sternotomy [8]. However, systemic inflammatory response follows extracorporeal circulation open-heart surgery driven both by major surgical insult and contact activation of blood with artificial surfaces of the cardiopulmonary bypass circuit [9]. Thus, whether the thoracoscopic surgery really provided underlying minimal invasion than traditional median sternotomy remained to be answered in terms of systemic inflammatory and injury response except clinical incision injury.
Pulmonary artery banding in patients with functional single ventricle associated with pulmonary hypertension
Published in Clinical and Experimental Hypertension, 2021
Gang Li, Han Zhang, Xiangming Fan, Junwu Su
During the study, 97 patients with functional single ventricle anomalies and pulmonary hypertension undergoing PAB. There were 63 males, the median age at operation was 12(range 2 to 168) months and the mean weight was (11.7 ± 7.9) kg. 33 patients were diagnosed with single ventricle, 20 patients had tricuspid atresia, 17 patients had double-outlet right ventricle, 16 patients had transposition of the great arteries, and 8 patients had unbalanced atrioventricular septal defect. The specific morphology included right ventricular hypoplasia (n = 3), total anomalous pulmonary venous connection(n = 4). PAB was an isolated procedure in 86 patients, the remaining 11 patients received concomitant procedures, including PDA ligation (n = 6), atrioventricular valve repair(n = 5). Due to the limitation of previous working conditions and the economic hardship, only 30 patients received cardiac catheterization before PAB. We analysis the patients’ pulmonary artery pressure that who received cardiac catheterization, showed that echocardiography vs cardiac catheterization vs measured intraoperatively(64.28 ± 13.65; 59.57 ± 9.86; 59.53 ± 12.26 mmHg;p > .05), there were no significant statistical difference. The patients’ characteristics are summarized in Table 1.
Prenatally diagnosed infracardiac total anomalous pulmonary venous connection: from the two sides of the spectrum
Published in Journal of Obstetrics and Gynaecology, 2018
Sezen Atik-Ugan, İrfan Levent Saltik
Total anomalous pulmonary venous connection (TAPVC) is a rare anomaly (Laux et al. 2013). The incidence of TAPVC is about 0.6–1.2 per 10,000 live births and occurs in approximately 1.5% in all cardiovascular anomalies (Hoffman and Kaplan 2002; Reller et al. 2008). There are four variants: supracardiac (40–55%), blood drains to one of the innominate veins or the superior vena cava; cardiac (15–30%), where blood drains into the coronary sinus or directly into the right atrium; infracardiac (15–26%), where blood drains into the inferior vena cava, portal or hepatic veins; and a mixed (2–10%) variant (Katre et al. 2012).