title: Amplatzer vascular plug for transcatheter closure of persistent unligated vertical vein after repair of infracardiac total anomalous pulmonary venous connection.
abstract: Repair of total anomalous pulmonary venous connection (TAPVC) involves anastomosing the pulmonary venous confluence with the left atrium and ligating the vertical vein. Sometimes, the vertical vein needs to be left open as a pop off with the idea that it will close over time. Infrequently an unligated vertical vein may remain patent after repair of infaracardiac TAPVC leading to hemodynamic instability. We report an infant in whom an unligated vertical vein remained patent after the repair of infracardiac TAPVC and caused hemodynamically significant left-to-right shunting. A successful transcatheter closure of persistent patent unligated vertical vein was performed using the Amplatzer Vascular Plug-I device.
authors.affiliation: Division of Cardiology, Carman and Ann Adams Department of Pediatrics, Children's Hospital of Michigan, Wayne State University School of Medicine, Detroit, Michigan 48201-2119, USA. dkobayas@dmc.org
authors.forename: Daisuke
authors.initials: D
authors.lastname: Kobayashi
authors.forename: Thomas J
authors.initials: TJ
authors.lastname: Forbes
authors.forename: Ralph E
authors.initials: RE
authors.lastname: Delius
authors.forename: Sanjeev
authors.initials: S
authors.lastname: Aggarwal
mesh_terms: D006328:Cardiac Catheterization / Q000295:instrumentation*; D006348:Cardiac Surgical Procedures; D018618:Echocardiography, Doppler, Color; D006439:Hemodynamics; D006801:Humans; D007231:Infant, Newborn; D008026:Ligation; D008297:Male; D011474:Prosthesis Design; D011667:Pulmonary Veins / Q000000981:diagnostic imaging / Q000503:physiopathology / Q000601:surgery*; D015641:Radiography, Interventional; D012587:Scimitar Syndrome / Q000175:diagnosis / Q000503:physiopathology / Q000601:surgery*; D055989:Septal Occluder Device; D016896:Treatment Outcome