Neonatal sutureless pericardial marsupialization for isolated iatrogenic pulmonary vein stenosis

J Card Surg. 2022 Nov;37(11):3932-3934. doi: 10.1111/jocs.16861. Epub 2022 Sep 10.

Abstract

A 12-day-old girl underwent extended end-to-end aortic arch reconstruction with proximal pulmonary autograft patch augmentation on moderately hypothermic cardiopulmonary bypass. At the end of the procedure, the right superior pulmonary vein developed a severe stenosis at the insertion site of the left atrial vent, as a consequence of multiple hemostatic sutures. We report the successful intraoperative ad hoc application of the sutureless pericardial marsupialization technique for the herewith described severe, isolated, iatrogenic pulmonary vein stenosis in a neonate.

Keywords: congenital heart disease.

Publication types

  • Case Reports

MeSH terms

  • Autografts
  • Female
  • Hemostatics*
  • Humans
  • Iatrogenic Disease
  • Infant, Newborn
  • Pulmonary Veins* / surgery
  • Stenosis, Pulmonary Vein*
  • Transplantation, Autologous

Substances

  • Hemostatics