Document Detail


The Warden procedure for partially anomalous pulmonary venous connection to the superior caval vein.
MedLine Citation:
PMID:  15237673     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: When there is partially anomalous pulmonary venous connection to the superior caval vein, intracardiac repair alone can result in obstruction. Although the Warden procedure involving translocation of the superior caval vein is commonly performed as an alternative to atriocavoplasty, follow-up of a larger number of patients in the modern era is lacking. We report and discuss the experience of a single institution with the Warden procedure for correction of partially anomalous pulmonary venous connection to the superior caval vein. METHODS: Since 1995, all 16 patients presenting with partially anomalous pulmonary venous connection to the superior caval vein underwent the Warden procedure at a mean age of 7.1 +/- 4.2 years, with a range from 0.2 to 14.3 years, and a mean weight of 24.7 +/- 14.0 kg, with a range from 4.1 to 52.9 kg. There were 9 males and 7 females. In 8 patients, we performed 10 concomitant procedures, including closure of an atrial or ventricular septal defect in 7, and advancement of the aortic arch in the other. RESULTS: There were no deaths, and only one episode of postoperative sinus bradycardia with intermittent junctional rhythm, which resolved spontaneously during temporary atrial pacing. All patients were discharged home in normal sinus rhythm at an average of 4.1 +/- 2.2 days after the procedure, with a range from 2 to 10 days. All are currently in the first grade of the New York Heart Association up to 5.6 years postoperatively. There is currently no evidence of sinus nodal dysfunction, nor obstruction of the superior caval vein, in any patient. CONCLUSION: The Warden procedure for partially anomalous pulmonary venous connection to the superior caval vein produces excellent results, preserves the function of the sinus node, and should be routinely considered for the repair of this lesion.
Authors:
Daniel J DiBardino; E Dean McKenzie; Jeffrey S Heinle; Jason T Su; Charles D Fraser
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Cardiology in the young     Volume:  14     ISSN:  1047-9511     ISO Abbreviation:  Cardiol Young     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-07-07     Completed Date:  2004-10-21     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9200019     Medline TA:  Cardiol Young     Country:  England    
Other Details:
Languages:  eng     Pagination:  64-7     Citation Subset:  IM    
Affiliation:
Division of Congenital Heart Surgery, Baylor College of Medicine, Houston, TX, USA. djd@bcm.tmc.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Aorta / pathology,  surgery
Cardiovascular Surgical Procedures / methods*
Child
Echocardiography
Female
Heart Septal Defects, Atrial / surgery
Heart Septal Defects, Ventricular / surgery
Humans
Infant
Male
Pulmonary Veins / pathology,  surgery*
Treatment Outcome
Vena Cava, Superior / pathology,  surgery*

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


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