Transcatheter occlusion of the vertical vein in a partial anomalous pulmonary venous connection with dual Drainage, case series with literature review

Abstract

Highlights Transcatheter occlusion of vertical vein in a partial anomalous pulmonary venous connection with dual drainage, case series with literature review. In our manuscript we highlight the possibility of transcatheter Amplatzer device closure of PAPVD with dual drainage is an effective, safe and reproducible approach. It offers many advantages over surgical treatment such as fast recovery, avoidance of mechanical ventilation and PCICU stay, short in-hospital stay, low cost and more patient satisfaction. In our series, it has been demonstrated that this approach showed appealing results, however larger scale studies and more follow-up periods are required to consolidate these findings.

Pulmonary Veins: Not Always Where You Expect Them

“…Recently, transcatheter occlusion of the VV in partial anomalous pulmonary venous connection with dual return to the LA and a VV has begun to gain favor in the congenital cardiology community, as indicated in multiple case studies and our center’s unpublished experience. 4 , 5 , 6 , 7 , 8 , 9 , 10 , 11 , 12 Although TTE remains the initial imaging modality of choice, often further evaluation of posterior structures requires TEE or cross-sectional imaging. In our case, the entry of the VV was severely narrowed as visualized on CCT, with secondary findings of increased Q p /Q s ratio and right-sided chamber dilation on CMR in the absence of an intracardiac shunt.…”

Environmental changes surrounding congenital heart disease

“…23) Hemodynamic function can be improved through percutaneous occlusion of fistulae or collateral vessels that can unnecessarily cause HF. Even interventions for partial anomalous pulmonary venous return repair 24) or coronary sinus-type ASD closure, 25) which are thought to be only possible with surgical treatment, are being attempted; therefore, percutaneous treatment is expected to expand infinitely in the future.…”