title: Anteroposterior Pulmonary Venous Anatomy: A Hitherto Undescribed Pulmonary Venous Arrangement With Implication for the Senning Operation and a Proposed Method of Dealing With It.
abstract: We have encountered a hitherto undescribed anatomical variant of pulmonary vein anatomy in hearts with d-transposition or congenitally corrected transposition of the great arteries. In this variant, the inferior right pulmonary vein lies posterior rather than inferior to the superior right pulmonary vein. This variant of pulmonary vein anatomy may predispose to the development of pulmonary venous pathway obstruction following a Senning operation, since it is difficult to open the pulmonary veins in a way that ensures a wide-open pulmonary venous pathway to the atrioventricular valve of the systemic ventricle. A method of neutralizing this effect is described, with medium-term results.
authors.affiliation: Pediatric Cardiac Surgery, Jaypee Hospital, Noida, Uttar Pradesh, India.
authors.forename: Sudip
authors.initials: S
authors.lastname: Dutta Baruah
authors.affiliation: Pediatric Cardiac Surgery, Jaypee Hospital, Noida, Uttar Pradesh, India rsharmacvs@hotmail.com.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Sharma
mesh_terms: D000069278:Arterial Switch Operation; D006348:Cardiac Surgical Procedures / Q000379:methods*; D006325:Heart Atria / Q000601:surgery; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D011652:Pulmonary Circulation; D011667:Pulmonary Veins / Q000002:abnormalities* / Q000601:surgery*; D014188:Transposition of Great Vessels / Q000601:surgery*
keywords: Senning; atrial switch; pulmonary vein; variant anatomy