| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Ann Thorac Surg 1998;66:1514-1520
© 1998 The Society of Thoracic Surgeons
a Division of Cardiovascular Surgery, The Hospital for Sick Children, University of Toronto and University of Toronto Faculty of Medicine, Toronto, Canada
Address reprint requests to Dr Caldarone, Division of Cardiovascular Surgery, The Children’s Hospital of Iowa at the University of Iowa Hospitals and Clinics, 200 Hawkins Dr 1616A JCP, Iowa City, IA 52242-1083
e-mail: (Chris-Caldarone{at}UIowa.edu)
Presented at the Thirty-fourth Annual Meeting of The Society of Thoracic Surgeons, New Orleans, LA, Jan 26–28, 1998.
Background. Progressive stenosis of the pulmonary veins after repair of total anomalous pulmonary venous drainage is frequently refractory to surgical therapy.
Methods. Retrospective review of 170 consecutive patients treated for total anomalous pulmonary venous drainage identified 13 patients with postrepair pulmonary vein stenosis. Preoperative and operative data were analyzed to define the patterns of progression and efficacy of surgical techniques.
Results. Seventeen reoperations were performed in 13 patients. Postrepair pulmonary vein stenosis was most common in the infracardiac and mixed subtypes (p < 0.02). All 4 patients with unilateral stenosis, 2 of whom had progression of stenosis resulting in nearly complete unilateral pulmonary vein occlusion, survived. Six of 9 patients with bilateral disease died (p < 0.05 versus unilateral); 2 of the 3 survivors were repaired with a novel technique creating a sutureless neoatrium without evidence of restenosis at 1.8 years’ follow-up. Stenting was uniformly unsuccessful.
Conclusions. In unilateral stenosis, progression of disease may be survivable with loss of single-lung perfusion. Although bilateral disease is lethal in most cases, creation of a sutureless neoatrium has demonstrated short-term freedom from disease progression.
This article has been cited by other articles:
|
|
 |
|
  A. M. Gaca, J. J. Jaggers, L. T. Dudley, and G. S. Bisset III Repair of Congenital Heart Disease: A Primer--Part 2 Radiology, July 1, 2008; 248(1): 44 - 60. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 R. D. McBane II, R. J. Leadley Jr, S. M. Baxi, K. Karnicki, and W. Wysokinski Iliac Venous Stenting: Antithrombotic Efficacy of PD0348292, an Oral Direct Factor Xa Inhibitor, Compared With Antiplatelet Agents in Pigs Arterioscler. Thromb. Vasc. Biol., March 1, 2008; 28(3): 413 - 418. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 J. C. Hirsch and E. L. Bove Total anomalous pulmonary venous connection MMCTS, May 7, 2007; 2007(0507): 2253. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 T. Karamlou, R. Gurofsky, E. Al Sukhni, J. G. Coles, W. G. Williams, C. A. Caldarone, G. S. Van Arsdell, and B. W. McCrindle Factors Associated With Mortality and Reoperation in 377 Children With Total Anomalous Pulmonary Venous Connection Circulation, March 27, 2007; 115(12): 1591 - 1598. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. A. Latson and L. R. Prieto Congenital and Acquired Pulmonary Vein Stenosis Circulation, January 2, 2007; 115(1): 103 - 108. [Full Text] [PDF]
|
|
|
|
 |
|
 I. E. Konstantinov Primary sutureless repair of total anomalous pulmonary venous connection: The value of intrapleural hilar reapproximation. J. Thorac. Cardiovasc. Surg., September 1, 2006; 132(3): 729 - 730. [Full Text] [PDF]
|
|
|
|
 |
|
 E. J. Devaney, A. C. Chang, R. G. Ohye, and E. L. Bove Management of Congenital and Acquired Pulmonary Vein Stenosis. Ann. Thorac. Surg., March 1, 2006; 81(3): 992 - 996. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
D. L. Packer, P. Keelan, T. M. Munger, J. F. Breen, S. Asirvatham, L. A. Peterson, K. H. Monahan, M. F. Hauser, K. Chandrasekaran, L. J. Sinak, et al. Clinical Presentation, Investigation, and Management of Pulmonary Vein Stenosis Complicating Ablation for Atrial Fibrillation Circulation, February 8, 2005; 111(5): 546 - 554. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. L. Hancock Friesen, D. Zurakowski, R. R. Thiagarajan, J. M. Forbess, P. J. del Nido, J. E. Mayer, and R. A. Jonas Total Anomalous Pulmonary Venous Connection: An Analysis of Current Management Strategies in a Single Institution Ann. Thorac. Surg., February 1, 2005; 79(2): 596 - 606. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T.-J. Yun, J. G. Coles, I. E. Konstantinov, O. O. Al-Radi, R. M. Wald, V. Guerra, N. C. de Oliveira, G. S. Van Arsdell, W. G. Williams, J. Smallhorn, et al. Conventional and sutureless techniques for management of the pulmonary veins: Evolution of indications from postrepair pulmonary vein stenosis to primary pulmonary vein anomalies J. Thorac. Cardiovasc. Surg., January 1, 2005; 129(1): 167 - 174. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
C. Mavroudis and R. M. Sade The Southern Thoracic Surgical Association 50th anniversary celebration: the impact of STSA pediatric cardiothoracic surgery manuscripts on surgical practice Ann. Thorac. Surg., November 1, 2003; 76(90050): S47 - 67. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 C J McMahon, C E Mullins, and H G El Said Intrastent sonotherapy in pulmonary vein restenosis: a new treatment for a recalcitrant problem Heart, February 1, 2003; 89(2): e6 - 6. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 A. Giamberti, J. E. Deanfield, R. H. Anderson, and M. R. de Leval Totally anomalous pulmonary venous connection directly to the superior caval vein Eur. J. Cardiothorac. Surg., March 1, 2002; 21(3): 474 - 477. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
L. D. Thompson, D. B. McElhinney, V. M. Reddy, K. L. Jue, and F. L. Hanley Infradiaphragmatic totally anomalous pulmonary venous return with two separate descending veins in association with right atrial isomerism Ann. Thorac. Surg., October 1, 2000; 70(4): 1400 - 1402. [Abstract] [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
