Retour veineux pulmonaire anormal partiel chez une patiente de 64ans

Aboukhoudir, Falah; Aboukhoudir, I.; Pansiéri, Michel; Khennine, B.; Hirsch, Julius; Rekik, S.

doi:10.1016/j.ancard.2015.09.033

Cited by 2 publications

(1 citation statement)

References 7 publications

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“…4,5 PAPVC itself occurs with a prevalence of approximately 3% of all CHD. 6 It is defined as a drainage of one or more pulmonary veins to the right atrium or to one of its tributaries. 7,8 The right upper pulmonary veins are the most frequently affected.…”

Section: Introductionmentioning

confidence: 99%

A Wide Comparison of Techniques for Repair of PAPVCs: One Institution's 20-Year Experience

Jaschinski

Cussigh

Fonseca

et al. 2019

Thorac cardiovasc Surg

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Background Different methods for surgical correction of partial anomalous pulmonary venous connection (PAPVC) exist. We evaluated the outcomes of four techniques regarding morbidity and mortality. Methods A total of 116 patients underwent PAPVC repair in our institution over a period of 20 years. Single-patch technique (n = 82 [71%], mean age: 18.59 ± 20.49 years), double-patch technique (n = 13 [11%], mean age: 43.18 ± 25.14 years), Warden's technique (n = 7 [6%], mean age: 10.04 ± 10.47 years), and direct implantation of anomalous pulmonary veins (n = 14 [12%], mean age: 14.42 ± 18.58 years) were examined. Results Out of the 116 patients, one patient (0.9%) developed pulmonary hypertension after discharge and three patients (2.6%) with normal right cardiac function showed right ventricular failure. In total, a pacemaker was inserted in seven cases (6%). Three patients (2.6%) presented with persistent nonsinus rhythm during follow-up. This complication was most frequently seen in the double-patch group being significantly increased compared with the other groups (p = 0.035). One patient presented with a mild stenosis of the superior vena cava. There were two early, nonsurgery-related deaths and no late mortality. Conclusion Operative therapy of PAPVC has low postoperative morbidity and mortality. Therefore, surgical repair of this cardiac anomaly is a safe and reproducible treatment independent of the applied method. The surgical technique must be selected based on the anatomy and possible accompanying congenital heart defects. Special care should be taken when using the double-patch technique because of significant more frequent nonsinus rhythm events postoperatively.

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Section: Introductionmentioning

confidence: 99%

A Wide Comparison of Techniques for Repair of PAPVCs: One Institution's 20-Year Experience

Jaschinski

Cussigh

Fonseca

et al. 2019

Thorac cardiovasc Surg

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The different surgical impact of the superior cavoatrial incision in children and adults

et al. 2020

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Introduction: The single- and double-patch repairs are undoubtedly the most commonly used techniques for the surgical management of partial anomalous pulmonary venous connection associated with sinus venosus atrial septal defect. The aim of this study was to retrospectively compare early and long-term surgical outcomes in paediatric and adult patients, focusing in particular on the occurrence of ectopic atrial rhythm. Material and methods: Seventy patients (male: 38, 54.2%) underwent surgical repair for partial anomalous pulmonary venous connection with sinus venosus atrial septal defect. Forty-nine patients (70%) underwent surgical repair in paediatric age (<16 years old), while 21 of (30%) patients were operated in adulthood. Thirty patients (42.8%) underwent single-patch repair and 39 patients (55.7%) underwent double-patch repair. In only one patient, the Warden procedure was performed (1.4%). Median follow-up time was 52 months (IQ 15.1–113). Results: The type of surgical technique didn’t affect the incidence of ectopic atrial rhythm (26.6% in single-patch group and 25.6% in double-patch groups, p = 0.9). At long-term follow-up, ectopic atrial rhythm, as an expression of sinoatrial node disturbance, was however significantly more frequent in the paediatric population (28.8% paediatric group and 4.7% adult group, p = 0.02). Conclusions: The higher incidence of ectopic atrial rhythm in children is probably related to the closer position of the sinus node to the superior cavoatrial incision, which makes irreversible iatrogenic traumatism more likely to occur. Surgical techniques that avoid any manipulation on the superior cavoatrial junction should, therefore, be preferred for children undergoing partial anomalous pulmonary venous connection repair.

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Retour veineux pulmonaire anormal partiel chez une patiente de 64ans

Cited by 2 publications

References 7 publications

A Wide Comparison of Techniques for Repair of PAPVCs: One Institution's 20-Year Experience

A Wide Comparison of Techniques for Repair of PAPVCs: One Institution's 20-Year Experience

The different surgical impact of the superior cavoatrial incision in children and adults

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