Yusuke Yamamoto, Sho Akiyama, Kentaro Hotoda, Mio Noma, Shuhei Yamaguchi, Hiroki Nagamine, Jun Maeda, Yukihiro Yoshimura
Tokyo Metropolitan Children’s Medical Center.
Japan
Journal of Thoracic and Cardiovascular Surgery Techniques
JTCVS Tech 2024; 26: 96-99
DOI: 10.1016/j.xjtc.2024.04.009
Abstract
Outcomes of the conventional repair for total anomalous pulmonary venous return (TAPVR) remain suboptimal mainly due to the occurrence of progressive pulmonary venous (PV) obstruction. In general, these postrepair PV obstructions are treated with the sutureless technique,although direct enlargementof thestenotic junction might beanalternative in those without obstruction of the peripheral PVs. Herein, we describe a patient with isolated anastomotic stenosis after conventional repair of infracardiac TAPVR that was successfully managed using in situ repair by the endocardial anchoring technique. This novel maneuver includes drawing the incised wall of the PV confluence into the left atrium and anchoring it to the atrial endocardium.
Category
Segmental Pulmonary Venous Disease. Without a Focus on Pulmonary Hypertension
Surgical and Catheter-mediated Interventions for Pulmonary Vascular Disease
Age Focus: Pediatric Pulmonary Vascular Disease
Fresh or Filed Publication: Fresh (PHresh). Less than 1-2 years since publication
Article Access
Free PDF File or Full Text Article Available Through PubMed or DOI: Yes