[Surgical correction of total anomalous pulmonary venous drainage: an adult case of successful repair].
Total anomalous pulmonary venous drainage (TAPVD) is a rare congenital cardiac anomaly. It occurs in only 1.5% of children born with congenital heart defects. But, it is one of the most common lesions necessitating intracardiac operation in the neonatal period. We have experienced a 33-year-old man with supracardiac type TAPVD who was operated upon successfully. Cardiac catheterization showed 0.35 in Pp/Ps, 3.33 in Qp/Qs and 0.11 in Rp/Rs. The left to right shunt ratio was 77%, while the right to left shunt ratio was 23%. The operation was composed of anastomosis between the left atrium and the common pulmonary vein, patch closure of the atrial septal defect, ligation of the vertical vein and tricuspid annuloplasty. The posterior approach was adopted in anastomosis between the left atrium and the common pulmonary vein. The association of a normal pulmonary vascular resistance, a large interatrial communication and absence of a pulmonary venous obstruction was considered as factors of a favorable result.
Murakami
T
T
Department of Thoracic and Cardiovascular Surgery, Kawasaki Medical School, Kurashiki, Japan.
Fujiwara
T
T
Yoshida
H
H
Masaki
H
H
Inada
H
H
Ishida
A
A
Tabuchi
A
A
Fukuhiro
Y
Y
Kikukawa
D
D
Katsumura
T
T
D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods; D006325:Heart Atria / Q000601:surgery; D006801:Humans; D008297:Male; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000601:surgery*; D014261:Tricuspid Valve / Q000601:surgery