Document Detail


In situ pericardium repair of pulmonary venous obstruction after repair of total anomalous pulmonary venous connection.
MedLine Citation:
PMID:  12229217     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 13-month-old boy with recurrent pulmonary venous obstruction (PVO) after repair of total anomalous pulmonary venous connection (TAPVC, Darling IIa + Ia) was treated successfully with in situ pericardium repair consisting of unroofing coronary sinus at 2 months. At 8 months, stenosis of the right upper and lower pulmonary veins (PV) and left lower PV were detected, and PVO was relieved via resection of the stenosis site and recutback. Echocardiography 3 months later showed obstructed bilateral PVs and connection between left PVs and vertical veins. At reoperation, we conducted in situ pericardium repair for right PVO and anastomosed left PVs to the left atrial appendage. The postoperative course was satisfactory. Echocardiography 12 months later showed no evidence of PVO, but cardiac catheterization 12 months later showed mild obstruction on the right side and normal venous drainage on the left. Although the long-term prognosis is unknown, this sutureless technique is effective in recurrent PVO.
Authors:
Hiroyuki Nishi; Kyoichi Nishigaki; Youichi Kume; Katsuhiko Miyamoto
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Japanese journal of thoracic and cardiovascular surgery : official publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai zasshi     Volume:  50     ISSN:  1344-4964     ISO Abbreviation:  Jpn. J. Thorac. Cardiovasc. Surg.     Publication Date:  2002 Aug 
Date Detail:
Created Date:  2002-09-16     Completed Date:  2002-10-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100884261     Medline TA:  Jpn J Thorac Cardiovasc Surg     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  338-40     Citation Subset:  IM    
Affiliation:
Department of Pediatric Cardiovascular Surgery, Osaka City General Hospital, 2-13-22 Miyakojima Hondori, Miyakojima-ku, Osaka 534-0021, Japan.
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MeSH Terms
Descriptor/Qualifier:
Humans
Infant
Male
Pericardium
Pulmonary Veins / abnormalities*
Pulmonary Veno-Occlusive Disease / surgery*
Reoperation

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