[Successful repair of total anomalous pulmonary venous connection and incomplete endocardial cushion defect associated with left isomerism].
Successful repair of a 8-month-old girl with polysplenia was reported. The cardiovascular anomalies were TAPVC (II b), incomplete ECD, interruption of inferior vena cava with hemiazygos continuation, bilateral superior vena cava, and left superior vena cava draining into the coronary sinus. Cardiopulmonary bypass was established with ascending aortic perfusion and caval cannulation. A left superior vena cava was directly cannulated after establishing partial bypass. In this case the left pulmonary vein drained into the right atrium near the orifice of the coronary sinus, so the atrial septal flap was made and sutured between the orifice of the left pulmonary vein and the coronary sinus in order to avoid late pulmonary vein obstruction. Then, atrium was separated by an intraatrial baffle which was sutured to the atrial septal flap. Recently, it becomes possible to surgical repair of polysplenia syndrome according to the advancements of the diagnostic methods, cardiopulmonary bypass, and the technique of the open heart surgery.
Department of Cardiovascular Surgery, Saitama Children's Medical Center, Japan.
A
A
Mizuno
Y
Y
Nakamura
H
H
Takayasu
H
H
Saitoh
D000015:Abnormalities, Multiple / Q000601:surgery*; D002315:Cardiopulmonary Bypass; D002648:Child; D004694:Endocardial Cushion Defects / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000601:surgery*; D013154:Spleen / Q000002:abnormalities; D013577:Syndrome