Neonatal sutureless pericardial marsupialization for isolated iatrogenic pulmonary vein stenosis

Tomoyuki Iwase, Rajnish K. Garg, Mahmoud A. Al Soufi, Roberto M. Di Donato

Al Jalila Children’s Hospital.
United Arab Emirates

Journal of Cardiac Surgery
J Card Surg 2022; 37: 3932-3934
DOI: 10.1111/jocs.16861

Abstract
A 12-day-old girl underwent extended end-to-end aortic arch reconstruction with proximal pulmonary autograft patch augmentation on moderately hypothermic cardiopulmonary bypass. At the end of the procedure, the right superior pulmonary vein developed a severe stenosis at the insertion site of the left atrial vent, as a consequence of multiple hemostatic sutures. We report the successful intraoperative ad hoc application of the sutureless pericardial marsupialization technique for the herewith described severe, isolated, iatrogenic pulmonary vein stenosis in a neonate.

Category
Stenosis or Obstruction of Normal Pulmonary Venous Connections
Surgical Interventions for Pulmonary Venous Obstruction After the Onset of Disease

Year of Publication: 2022

Age Focus: Pediatric

Article Type: Case Reports or Retrospective Observations in Small Groups of Patients (≤10 patients)

Article Access: Free PDF File or Full Text Article Available Through PubMed or DOI: No