Double drainage of total anomalous pulmonary venous connection: An extremely rare variant

Ojha, Vineeta; Ganga, Kartik P.; Chandrashekhara, Sheragaru Hanumanthappa; Kumar, Sanjeev

doi:10.1111/jocs.14531

Cited by 3 publications

(2 citation statements)

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“…The double drainage variant was not common, but fortunately, the surgical technique was similar to the typical subtype of each type, which involved ligating the smaller VV and redirecting blood flow through the baffle or CV-LA anastomosis. [18][19][20] Our research article was unable to determine the long-term effects of all TAPVC types, as it was beyond the scope of our review. At our institution, TAPVC cases were primarily diagnosed using 2D echocardiography, with some cases requiring a computerized tomography angiogram if all PVs could not be ruled out on the echos and the patient was in a stable condition.…”

Section: Commentmentioning

confidence: 99%

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A 15-Year Experience With Total Anomalous Pulmonary Venous Connection in Vietnam

Dinh,

Do,

Ngo

et al. 2024

World J Pediatr Congenit Heart Surg

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Background This article aims to demonstrate the morphology of 261 total anomalous pulmonary venous connection (TAPVC) cases operated at Children's Hospital 1 with in-hospital mortality of 19.5% (51/261). Methods All the surgical protocols of TAPVC cases repaired between 2008 and June 2023 were reviewed. The descriptions of TAPVC were based on operative findings by surgeons. Results A total of 261 TAPVC patients were operated, including 124 (47.5%) supra, 83 (31.8%) intra, 41 (15.7%) infra, and 13 (5%) mixed cases. The in-hospital mortality was 19.5% (51/261). Fifteen cases are associated with other anomalies of the heart. Four subtypes of 124 supra TAPVC were found, with 42 (33.9%) obstructed cases. The standard was all pulmonary veins (PVs) forming a common vein (CV) and draining into the innominate veins, then going to the superior vena cava (SVC) (100/124, 80.6%). Eleven supra TAPVC cases were vascular vise type. Ten cases had the vertical vein running from the right of the CV and draining directly into the SVC. Of 83 intracardiac TAPVCs with 9 (10.8%) obstructed cases, the most common was all PVs draining directly into the coronary sinus (60/83, 72.3%). The second was all PVs draining directly into the right atrium (RA) via separated ostia or forming a CV before entering the RA (17/83, 20.5%). Also, there were three cases with rare variants and 100% obstruction when the diagnosis was explored. The in-hospital mortality of intracardiac type was 13.3% (11/83) 41 infra TAPVC with obstructed rate of 61% (25/41) and in-hospital mortality of 29.3% (12/41). Thirteen mixed TAPVCs were repaired, with most cases having three PVs forming a CV. Conclusion This article provides valuable information about the morphology of TAPVC types in Asian patients.

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Section: Commentmentioning

confidence: 99%

Section: Commentmentioning

confidence: 99%

A 15-Year Experience With Total Anomalous Pulmonary Venous Connection in Vietnam

Dinh,

Do,

Ngo

et al. 2024

World J Pediatr Congenit Heart Surg

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Dual drainage of the common chamber of total anomalous pulmonary venous connection

Mohapatra¹,

Das²,

Bari³

et al. 2021

Progress in Pediatric Cardiology

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Total anomalous pulmonary venous return with mixed drainage and double connection: a rare case report not previously described

Salort

González

Sánchez

et al. 2022

European Heart Journal - Case Reports

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Background Total anomalous pulmonary venous return is a rare cyanotic congenital heart disease in which pulmonary veins connect to the systemic veins, right atrium or coronary sinus. Given its variability, it is essential to define the pathway and drainage site. Case summary We describe a 3-day-old patient with total anomalous pulmonary venous return, in which the four pulmonary veins drained into a common vertical vein that had a double connection at the cardiac (coronary sinus) and infracardiac (portal vein) levels. The echocardiographic diagnosis was confirmed by CT scan. At 1.5 months she underwent surgery by anastomosis of the venous collector with the left atrium, unroof of the coronary sinus and clousure of its comunication with right atrium. The vertical vein was ligated. There were no complications after one year of follow-up. Discussion This is an unusual anatomy that has not been described in the literature. In this article, we discuss the embryological origin. Furthermore, we highlight the importance of an accurate diagnosis of the venous pathway and its impact on surgical planning and patient prognosis.

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Double drainage of total anomalous pulmonary venous connection: An extremely rare variant

Abstract: We present a case of rare double drainage of total anomalous pulmonary venous connection, which was diagnosed on a dual-source CT scanner. This case also highlights the critical role of volume-rendered images for preoperative planning.

Cited by 3 publications

References 1 publication

A 15-Year Experience With Total Anomalous Pulmonary Venous Connection in Vietnam

A 15-Year Experience With Total Anomalous Pulmonary Venous Connection in Vietnam

Dual drainage of the common chamber of total anomalous pulmonary venous connection

Total anomalous pulmonary venous return with mixed drainage and double connection: a rare case report not previously described

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