| Item type |
学術雑誌論文 / Journal Article(1) |
| タイトル |
|
|
タイトル |
Surgery for Partial Anomalous Pulmonary Venous Connection without Atrial Septal Defect Diagnosed in Young Adulthood |
|
言語 |
en |
| 言語 |
|
|
言語 |
eng |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Partial anomalous pulmonary venous connection |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Warden procedure |
| キーワード |
|
|
言語 |
en |
|
主題Scheme |
Other |
|
主題 |
Adult congenital heart disease |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
journal article |
| アクセス権 |
|
|
アクセス権 |
open access |
|
アクセス権URI |
http://purl.org/coar/access_right/c_abf2 |
| 著者 |
Kanazawa, Yuta
Matsuoka, Taiki
Hirota, Shotaro
Yokoyama, Shouhei
Tezuka, Masahiro
Takei, Yusuke
Tsuchiya, Go
Konishi, Taisuke
Ogata, Koji
Shibasaki, Ikuko
Fukuda, Hirotsugu
|
| 書誌情報 |
en : Dokkyo Medical Journal
巻 4,
号 2,
p. 148-151,
発行日 2025-04-25
|
| 記事種別 |
|
|
値 |
Case Report |
| 内容記述 |
|
|
内容記述タイプ |
Abstract |
|
内容記述 |
Background: Partial anomalous pulmonary venous connection (PAPVC) accounts for 0.4-0.7% of congenital heart disease. Herein, we report a case of successful surgical treatment of PAPVC that preserves the specialized conduction system without any artificial materials.
Case presentation: A 21-year-old male patient had no significant medical history. The patient was referred to our department because the enlargement of right hilar shadow was shown on chest X-ray during a school physical examination. Partial anomalous pulmonary venous connection was diagnosed by contrast enhanced computed tomography. The right upper pulmonary vein was returning to the higher superior vena cava. The pulmonary systemic blood flow ratio was 2.88 on right heart catheterization. Surgery was performed under general anesthesia, with the patient in a supine position. An atrial septum defect was created under cardiac arrest using cardiopulmonary bypass as usual, and the rerouted right upper pulmonary vein blood flow using fresh autologous pericardial patch. An incision was made in the right atrial appendage and sutured to the superior vena cava for creating a pathway for blood flow from the superior vena cava to enter the right atrium (modified Warden procedure). Postoperative CT scan revealed successful rerouting blood flow of right upper pulmonary vein and superior vena cava. Superior vena cava-right atrium anastomosis, such as Warden procedure has the advantage of reducing the risk of postoperative sick sinus syndrome because not touching the sinus node. Reconstruction using only autologous tissue has advantages of antithrombogenicity. There are some case reports of an adult patient with using a fresh autologous pericardial patch who developed pulmonary vein obstruction in the remote term. Therefore, careful follow up is necessary in this case.
Conclusions: We performed a successful operation for repair of PAPVC connected to SVC with modified
Warden procedure. The procedure was safe and simple and yielded excellent postoperative outcomes. |
|
言語 |
en |
| 出版者 |
|
|
出版者 |
Dokkyo Medical Society |
| ISSN |
|
|
収録物識別子タイプ |
EISSN |
|
収録物識別子 |
2436-522X |
| 書誌レコードID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA12941861 |
| DOI |
|
|
関連タイプ |
isIdenticalTo |
|
|
識別子タイプ |
DOI |
|
|
関連識別子 |
https://doi.org/10.51040/dkmj.2024-028 |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
DKMJ-4-2-8.pdf (449 KB)
.png)
