A Surgical Integration Technique for Right-Sided and Left-Sided Superior Venae Cavae.
The treatment of some subsets of patients having both right-sided superior vena cava (SVC) and left-sided SVC may be very challenging. We performed the SVC integration (SVCI) technique with end-to-side anastomoses between the two SVCs on 4 such patients (age, 5 to 11 months; body weight, 5.4 to 10.2 kg) with excellent outcomes. In 2 patients, we performed intrapulmonary artery septation with SVCI; in 1 patient, pulmonary artery sling repair with SVCI; and in 1 patient with supramitral stenosis related to persistent left-sided SVC, repeated Blalock-Taussig shunt (BTS) with SVCI. Our SVCI technique is very useful in specific cases (eg, in candidates for the Fontan procedure.
Department of Pediatric Cardiovascular Surgery, Okinawa Prefectural Nanbu Medical Center & Children's Medical Center, Okinawa, Japan. Electronic address: taifuchigami@yahoo.co.jp.
Tai
T
Fuchigami
Department of Pediatric Cardiovascular Surgery, Okinawa Prefectural Nanbu Medical Center & Children's Medical Center, Okinawa, Japan.
Masahiko
M
Nishioka
Department of Pediatric Cardiovascular Surgery, Okinawa Prefectural Nanbu Medical Center & Children's Medical Center, Okinawa, Japan.
Toru
T
Akashige
Department of Pediatric Cardiovascular Surgery, Okinawa Prefectural Nanbu Medical Center & Children's Medical Center, Okinawa, Japan.
Nobuhiro
N
Nagata
D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D014656:Vascular Surgical Procedures / Q000379:methods; D014683:Vena Cava, Superior / Q000002:abnormalities* / Q000601:surgery*