[A case of bilateral partial anomalous pulmonary venous connections with the right upper pulmonary vein draining to the high superior vena cava].
A 10-year-old girl with bilateral partial anomalous pulmonary venous connections (PAPVC) was referred to us. The right upper pulmonary vein (PV) drained to the high superior vena cava (SVC) and the left upper PV to the left innominate vein. The left upper PV was directly anastomosed to the right atrial appendage. The SVC was divided distal to the orifice of the right upper PV and anastomosed to the right atrial appendage. A Xenomedica patch was placed within the right atrium to divert the pulmonary venous blood from the SVC orifice across the surgically enlarged ASD to the left atrium. The postoperative course was satisfactory without arrhythmia, and cineangiography revealed no obstruction at the SVC and the right upper PV pathways. We thought that this method is advantageous in preserving the sinus node and its feeding artery, as well as being applicable to the PAPVC to the high SVC.
Nakamura
J
J
Department of Pediatric Cardiovascular Surgery, Osaka City General Hospital, Japan.
Miyamoto
K
K
Kuroda
O
O
Suhara
H
H
Murakami
Y
Y
Sugimoto
H
H
D000714:Anastomosis, Surgical / Q000379:methods; D016121:Brachiocephalic Veins / Q000002:abnormalities / Q000601:surgery; D002648:Child; D005260:Female; D006801:Humans; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000601:surgery; D014683:Vena Cava, Superior / Q000002:abnormalities* / Q000601:surgery