Document Detail


Modified primary sutureless repair of total anomalous pulmonary venous connection in heterotaxy.
MedLine Citation:
PMID:  19766842     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Early and late mortality remain high after palliative open heart surgery in low-weight neonates. In addition, the need for neonatal repair and the presence of pulmonary venous obstruction are risk factors for mortality in right isomerism. We describe a modified primary sutureless repair of infracardiac total anomalous pulmonary venous connection in a 1,600 g neonate with heterotaxy. Endarterectomy of intimal hyperplasia localized to the anastomotic site was required at bilateral bidirectional cavopulmonary connection 6 months after the initial repair. The patient underwent a successful fenestrated Fontan procedure using an extracardiac conduit at the age of 2 years.
Authors:
Yoshihiro Oshima; Masahiro Yoshida; Ayako Maruo; Chikashi Shimazu; Tomonori Higuma; Takeshi Inoue
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  88     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2009 Oct 
Date Detail:
Created Date:  2009-09-21     Completed Date:  2009-10-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1348-50     Citation Subset:  AIM; IM    
Affiliation:
Department of Cardiovascular Surgery, Kobe Children's Hospital, Kobe, Japan. ooshima_kch@hp.pref.hyogo.jp
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple
Diagnosis, Differential
Echocardiography, Doppler
Female
Follow-Up Studies
Fontan Procedure / methods*
Humans
Infant, Newborn
Pulmonary Veins / abnormalities*,  surgery
Suture Techniques*
Vascular Malformations / diagnosis,  surgery*
Viscera / abnormalities*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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