Palliative emergency stenting of the vertical vein in obstructive supracardiac pulmonary venous drainage prior to surgical repair

Al-Muhaya, Mustafa A.; Najjar, Abdul Hameed A.; Jelly, Ali; Alkodami, Alassal A.; Mofeed, Mohammad; Almutairi, Mansour

doi:10.1016/j.jsha.2018.12.001

Cited by 4 publications

(3 citation statements)

References 7 publications

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“…To our knowledge this is the first report of stenting of both VV and DV. This approach should not be considered only for LBW and premature neonates, 4 but this may present a bridge to a safer repair in all obstructed TAPVC to allow repair under less critical circumstances when the initial pathophysiologic process is reversed, which may improve outcomes in these challenging population 5 …”

Section: Commentmentioning

confidence: 99%

Successful rapid staged hybrid approach for obstructed total anomalous pulmonary venous connection

Said

Braunlin

Berry

et al. 2022

Journal of Cardiac Surgery

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Section: Commentmentioning

confidence: 99%

Successful rapid staged hybrid approach for obstructed total anomalous pulmonary venous connection

Said

Braunlin

Berry

et al. 2022

Journal of Cardiac Surgery

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“…Infants with obstructive total anomalous pulmonary venous connection are the sickest and carry significantly high mortality after surgery. Some of these infants may benefit from transcatheter relief of obstruction before surgery especially very sick, small premature infants with co-morbidities or with isomeric hearts [6][7][8][9][10][11]. The idea of preoperative stabilization by temporarily relieving the obstruction was developed to improve outcomes for neonatal obstructed total anomalous pulmonary venous connection [12].…”

Section: Introductionmentioning

confidence: 99%

Transcatheter Palliation of a Young Infant With Obstructed Supracardiac Total Anomalous Pulmonary Venous Connection

Sultan¹,

Zulfiqar²,

Khan³

et al. 2022

Cureus

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Obstructed total anomalous pulmonary venous connection is a life-threatening pediatric cardiac emergency. Infants usually present in critical condition with marked respiratory distress, severe metabolic acidosis, and central cyanosis. Urgent cardiac surgical intervention, despite its high risk, is necessary in order to save the life of the patient. A two-month-old female infant presented to our tertiary care hospital with dense cyanosis and metabolic acidosis. She required mechanical ventilation, but her oxygen saturation did not improve. Her 2D transthoracic echocardiography revealed obstructed supracardiac total anomalous pulmonary venous connection with adequate interatrial communication and severe pulmonary hypertension. After discussion with the family and pediatric cardiac surgical team, it was decided to offer her transcatheter relief of obstructive ascending channel. She underwent successful balloon angioplasty of stenosed levoatrial cardinal vein (vertical vein) with remarkable improvement in blood flow and vessel caliber. She was extubated and her oxygen saturation rose from the high seventies to low eighties immediately after the procedure. She is scheduled for cardiac surgical repair within the next few days. Transcatheter angioplasty is a workable option in stabilizing very sick young infants with obstructed total anomalous pulmonary venous connection, especially supracardiac ones.

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“…2,3 Relief of pulmonary venous obstruction via emergent vertical vein stenting to stabilise a critical neonate prior to surgery can decrease morbidity and mortality. 4,5 We report the successful relief of severe pulmonary venous obstruction in a neonate with infradiaphragmatic total anomalous pulmonary venous connection, whom we felt was unfit for emergent surgery.…”

mentioning

confidence: 99%

Palliative vertical vein stenting in a critical neonate with obstructed infradiaphragmatic total anomalous pulmonary venous connection

Chaturvedi¹,

Deshmukh²,

Thakur³

et al. 2022

Cardiol Young

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Neonatal total anomalous pulmonary venous connection has an incidence of about ∼1–2%.1 The clinical presentation of total anomalous pulmonary venous connection in the neonatal period is dependent on the presence or absence of pulmonary venous obstruction, which is usual when the veins connect to the umbilicovitelline system, as in infradiaphragmatic total anomalous pulmonary venous connection. Obstructed total anomalous pulmonary venous connection presents with severe respiratory distress, metabolic acidosis, and cyanosis and requires urgent surgical intervention. However, critically ill neonates with obstructed total anomalous pulmonary venous connection have a higher surgical morbidity and mortality, and pre-operative stabilisation can improve outcomes in them. We present a case of a septic term neonate with obstructed infradiaphragmatic total anomalous pulmonary venous connection who underwent emergency palliative stent placement for immediate relief of pulmonary venous obstruction.

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Palliative emergency stenting of the vertical vein in obstructive supracardiac pulmonary venous drainage prior to surgical repair

Cited by 4 publications

References 7 publications

Successful rapid staged hybrid approach for obstructed total anomalous pulmonary venous connection

Successful rapid staged hybrid approach for obstructed total anomalous pulmonary venous connection

Transcatheter Palliation of a Young Infant With Obstructed Supracardiac Total Anomalous Pulmonary Venous Connection

Palliative vertical vein stenting in a critical neonate with obstructed infradiaphragmatic total anomalous pulmonary venous connection

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