Document Detail

Left superior vena cava to the left atrium: do we have to change the traditional approach?
MedLine Citation:
PMID:  10585085     Owner:  NLM     Status:  MEDLINE    
Left superior vena cava (LSVC) to the left atrium is a rare congenital cardiac complex, which may appear as an isolated anomaly, or as part of more complex cardiac anomalies. Traditionally, an intraatrial baffle was the preferred surgical technique. Although this technique has proved reliable and successful, acute ligation and extracardiac repair are simpler and easier solutions, requiring less myocardial ischemic time. We present 3 patients who underwent simple ligation and discuss the literature for other extracardiac options of surgical repair. Our patients had short transient congestion in the left upper part of their body that resolved completely after a few weeks, without further complications. We believe that either acute ligation or extracardiac repair is a much simpler yet effective solution to divert the left caval flow to the lesser circulation.
S Zimand; P Benjamin; M Frand; D Mishaly; A K Smolinsky; J Hegesh
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  68     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  1999 Nov 
Date Detail:
Created Date:  1999-12-14     Completed Date:  1999-12-14     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1869-71; discussion 1871-2     Citation Subset:  AIM; IM    
Cardiac Institute Department of Pediatric Cardiology, Sackler School of Medicine, Chaim Sheba Medical Center, Tel Hashomer, Israel.
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MeSH Terms
Child, Preschool
Follow-Up Studies
Heart Atria / abnormalities*,  surgery
Heart Defects, Congenital / surgery*
Postoperative Complications / etiology
Treatment Outcome
Vena Cava, Superior / abnormalities*,  surgery

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