Reconstructive methods for anomalous systemic venous return: surgical management of persistent left superior vena cava.
Persistent left superior vena cava can present as a benign anatomic finding or as a pathologic entity, causing significant hemodynamic manifestations. Its presence can also promote modifications in the surgical techniques used for treatment of other cardiac pathologies. When persistent left superior vena cava constitutes a pathologic entity that needs to be surgically addressed, this can be approached either by intracardiac or extracardiac procedures. Extracardiac procedures appear simpler and reproducible. A previously reported technique for extracardiac approach of left superior vena cava using an enlarged left superior vena cava-right atrial appendage anatomosis is reviewed.
Vargas
Florentino J
FJ
Division of Cardiovascular Surgery, Hospital de Niños P. Elizalde (Casa Cuna) and Instituto Dupuytren, Buenos Aires, Argentina. fvargas@intramed.net.ar
D000714:Anastomosis, Surgical; D006325:Heart Atria / Q000601:surgery; D006330:Heart Defects, Congenital / Q000601:surgery*; D016027:Heart Transplantation; D006801:Humans; D007231:Infant, Newborn; D019651:Plastic Surgery Procedures; D014683:Vena Cava, Superior / Q000002:abnormalities*; D014694:Ventricular Outflow Obstruction / Q000601:surgery