Yusuke Yamamoto, Sho Akiyama, Kentaro Hotoda, Mio Noma, Shuhei Yamaguchi, Hiroki Nagamine, Jun Maeda, Yukihiro Yoshimura
Tokyo Metropolitan Children’s Medical Center.
Japan
Journal of Thoracic and Cardiovascular Surgery Techniques
JTCVS Tech 2024; 26: 96-99
DOI: 10.1016/j.xjtc.2024.04.009
Abstract
Outcomes of the conventional repair for total anomalous pulmonary venous return (TAPVR) remain suboptimal mainly due to the occurrence of progressive pulmonary venous (PV) obstruction. In general, these postrepair PV obstructions are treated with the sutureless technique,although direct enlargementof thestenotic junction might beanalternative in those without obstruction of the peripheral PVs. Herein, we describe a patient with isolated anastomotic stenosis after conventional repair of infracardiac TAPVR that was successfully managed using in situ repair by the endocardial anchoring technique. This novel maneuver includes drawing the incised wall of the PV confluence into the left atrium and anchoring it to the atrial endocardium.
Category
Uncategorized due to a focus on postoperative obstruction of anomalous pulmonary venous return at the anastomosis site, not intraluminal disease
Year of Publication: 2024
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: Yes