Superior Vena Cava Flap to Reroute Partial Anomalous Pulmonary Venous Connection

World J Pediatr Congenit Heart Surg. 2019 Sep;10(5):645-647. doi: 10.1177/2150135119862596.

Abstract

A 46-year-old man who had undergone atrial septal defect closure during childhood was referred for surgery for residual partial anomalous pulmonary venous connection. The anomalous pulmonary veins were connected to the higher (cephalad) segment of the superior vena cava. As the usual caval division technique was not applicable, we chose to utilize the anterior wall of the superior vena cava as a flap for anomalous pulmonary vein rerouting. Bovine pericardium was used to reconstruct the systemic venous pathway. Systemic or pulmonary venous stenosis was not detected. The patient was discharged with a sinus rhythm.

Publication types

  • Case Reports

MeSH terms

  • Anastomosis, Surgical / methods
  • Animals
  • Cattle
  • Heart Defects, Congenital / surgery*
  • Heart Septal Defects, Atrial / surgery*
  • Humans
  • Male
  • Middle Aged
  • Pericardium / surgery*
  • Pulmonary Veins / abnormalities*
  • Pulmonary Veins / surgery*
  • Surgical Flaps*
  • Transplantation, Heterologous
  • Vascular Malformations
  • Vena Cava, Superior / surgery*