[The pulmonary venous obstruction following repair with absorbable sutures in total anomalous pulmonary venous drainage--a case report].
A 4-month-old boy with infracardiac type of total anomalous pulmonary venous drainage (TAPVD) who underwent anastomosis between left atrium and common pulmonary vein at age of one month with absorbable suture of polydioxanone (PDS), was suffered from pulmonary venous obstruction (PVO). The ostia of pulmonary veins were stenosed severely. The histological findings showed that there were inflammatory changes and fibrosis around PDS suture. These findings suggested that PDS would cause inflammatory change of tissues around, which might be occurred following repair of TAPVD.
Fukushima
N
N
First Department of Surgery, Osaka University Medical School, Japan.
Matsuda
H
H
Kadoba
K
K
Kawamoto
T
T
Sawa
Y
Y
Kobayashi
J
J
D000714:Anastomosis, Surgical / Q000009:adverse effects; D006325:Heart Atria / Q000601:surgery; D006801:Humans; D007223:Infant; D008297:Male; D016687:Polydioxanone / Q000009:adverse effects*; D011183:Postoperative Complications / Q000209:etiology*; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000601:surgery; D011668:Pulmonary Veno-Occlusive Disease / Q000209:etiology*; D013537:Sutures
D016687:Polydioxanone