Robert M. Sade, Michael D. Freed, Edward C. Matthews, Aldo R. Castaneda
Children’s Hospital Medical Center and Harvard Medical School. MaineMedical Center.
United States
Journal of Thoracic and Cardiovascular Surgery
J Thorac Cardiovasc Surg 1974; 67: 953-962
DOI: https://doi.org/10.1016/S0022-5223(19)41725-X
Abstract
Stenosis or atresia of the individual pulmonary veins is a rare condition that is usually fatal when untreated, even when only one side is involved. The lesion can be diagnosed at cardiac catheterization by pressure and angiographic data. The surgical approach to pulmonary vein stenosis must be flexible. The technique of repair will depend upon the local anatomy of each lesion. Those of the diaphragmatic type can be treated effectively by excision of the obstructing membrane. Increase of the vein’s caliber can be achieved by patch angioplasty. When segmental stenosis or atresia is present, it may be necessary to anastomose the vein directly to the left atrium. Relief of most types of extrapulmonary venous stenosis and atresia should be possible with currently available techniques. If relief of the obstruction is not possible, undrained pulmonary tissue should be excised whenever technically feasible.
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: Filed (PHiled). Greater than 1-2 years since publication
Article Access
Free PDF File or Full Text Article Available Through PubMed or DOI: Yes (available through Science Direct)