Tratamento cirúrgico da conexão anômala parcial das veias pulmonares em veia cava superior

Abstract

Tratamento cirúrgico da conexão anômala parcial das veias pulmonares em veia cava superiorSurgical treatment of partial anomalous pulmonary venous connection to the superior vena cava Abstract Objectives: Surgical treatment of anomalous pulmonary venous connection to the superior vena cava, associated with sinus venous atrial septal defect, is well established and presents with low morbidity and mortality. In order to reduce the incidence of stenosis or occlusion of the right superior vena cava, especially when associated with the presence of left superior vena cava, the right atrial appendage was used to enlarge the right superior vena cava, after the diversion of the anomalous pulmonary veins to the left atrium. Conclusion: This study shows the applicability of the technique described with favorable results on mortality, rhythm disturbances and complications in the right superior vena cava.

Heart Failure Due to Anomalous Pulmonary Vein Connection Associated with Atrial Septal Defect

“…PAPVD usually occurs during fetal development, secondary to failure of one or more pulmonary veins of right lung upper lobe in connecting to the left atrium. 2,4 Physiologically, it produce a shunt from left to right, similar to an atrial septal…”

Deciphering a case of pulmonary hypertension in a young female: Partial anomalous pulmonary venous drainage the culprit

“…For the PAPVD to the SVC, the repair techniques may include internal patch technique with or without SVC enlargement, or the caval division technique with atriocaval anastomosis known as Warden technique. [ 10 11 ] Patients with internal patch technique must be observed for obstruction of the SVC with SVC syndrome, obstruction of the pulmonary veins, sick sinus syndrome, and supraventricular tachyarrhythmias. [ 12 ] The perioperative mortality rate is comparable to that for ASD repair (<0.1%).…”