1
|
Common pulmonary vein atresia. Cardiol Young 2022; 32:668-670. [PMID: 34486517 DOI: 10.1017/s1047951121003565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
A 4-hour-old infant with profound cyanosis on an alprostadil infusion was urgently transferred to Rady Children's Hospital with suspected CHD. Upon arrival, urgent echocardiography was performed but could not confirm the presence of discrete pulmonary veins or pulmonary venous drainage. Given the difficulty in delineating the anatomy, a cardiac CT scan was performed and demonstrated a nearly atretic common pulmonary vein with multiple small collaterals that drained to systemic veins. Due to the high risk of mortality associated with operative repair, the decision was made to proceed with compassionate withdrawal of care. The described anatomy of common pulmonary vein atresia remains rare, and to our knowledge, fewer than 40 cases have been reported in the literature. Albeit rare, common pulmonary vein atresia should be considered in the differential diagnosis of a severely cyanotic neonate.
Collapse
|
2
|
Cor Triatriatum can co-exist with Common Pulmonary Venous Atresia. Ann Thorac Surg 2021; 112:e337-e339. [PMID: 33662307 DOI: 10.1016/j.athoracsur.2021.02.023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Revised: 02/09/2021] [Accepted: 02/13/2021] [Indexed: 11/20/2022]
Abstract
Surgical treatment was very urgently carried out in an extremely cyanotic newborn with common pulmonary venous atresia. The diagnosis was confirmed during the procedure, and the common venous chamber was anastomosed to the left atrium through a transverse incision onto the right and the left atria. Unfortunately, pulmonary hypertension persisted during the postoperative course and even got worse gradually. Computed tomography eventually illustrated residual Cor Triatriatum. The initial atriotomy had been entirely above the diaphragm within the left atrium. Consequently, the abnormal structure had been overlooked. The patient is doing well one month after the surgical revision. Pulmonary hypertension disappeared.
Collapse
|
3
|
Parzen JS, Swartz MF, Cholette JM, Smith F, Gensini F, Alfieris GM. Continuous Cardiopulmonary Bypass During the Repair of Total Anomalous Pulmonary Venous Return. World J Pediatr Congenit Heart Surg 2016; 7:750-752. [PMID: 27834770 DOI: 10.1177/2150135116663699] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2016] [Accepted: 07/15/2016] [Indexed: 11/15/2022]
Abstract
Circulatory arrest (CA) is traditionally utilized during the repair of total anomalous pulmonary venous return (TAPVR). Since 2005, we have exclusively repaired all types of TAPVR using continuous cardiopulmonary bypass. We present our technique using continuous cardiopulmonary bypass throughout the duration of the repair, by temporarily occluding the vertical vein and placing a pump sucker within the pulmonary venous confluence. This technique has been used on 29 consecutive patients and resulted in limited morbidity and absence of pulmonary vein stenosis from most recent follow-up.
Collapse
Affiliation(s)
- Jacob S Parzen
- Pediatric Cardiac Consortium of Upstate New York, NY, USA.,Strong Memorial Hospital, University of Rochester, Rochester, New York, NY, USA
| | - Michael F Swartz
- Pediatric Cardiac Consortium of Upstate New York, NY, USA.,Strong Memorial Hospital, University of Rochester, Rochester, New York, NY, USA
| | - Jill M Cholette
- Pediatric Cardiac Consortium of Upstate New York, NY, USA.,Strong Memorial Hospital, University of Rochester, Rochester, New York, NY, USA
| | - Frank Smith
- Pediatric Cardiac Consortium of Upstate New York, NY, USA.,SUNY Upstate Medical University, Syracuse, New York, NY, USA
| | - Francisco Gensini
- Pediatric Cardiac Consortium of Upstate New York, NY, USA.,Strong Memorial Hospital, University of Rochester, Rochester, New York, NY, USA.,SUNY Upstate Medical University, Syracuse, New York, NY, USA
| | - George M Alfieris
- Pediatric Cardiac Consortium of Upstate New York, NY, USA .,Strong Memorial Hospital, University of Rochester, Rochester, New York, NY, USA.,SUNY Upstate Medical University, Syracuse, New York, NY, USA
| |
Collapse
|
4
|
Nakamura Y, Miyaji K, Miyata Y, Kitagawa A. An Extremely Rare Variant of Pulmonary Venous Atresia. Ann Thorac Surg 2016; 101:2382-4. [PMID: 27211953 DOI: 10.1016/j.athoracsur.2015.08.085] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/29/2015] [Revised: 08/19/2015] [Accepted: 08/26/2015] [Indexed: 11/30/2022]
Abstract
We describe an unusual case of a newborn with a rare variant of atresia of the common pulmonary vein that was mistaken for total anomalous pulmonary venous connection, cardiac type. The survival of patients with atresia of the common pulmonary vein is dependent on early diagnosis followed by immediate surgical repair, although early accurate diagnosis has been described as difficult in previous reports. Reverse aortic arch flow detected by echocardiography may be an important sign suggesting such a diagnosis.
Collapse
Affiliation(s)
- Yuki Nakamura
- Department of Cardiovascular Surgery, Kitasato University Hospital, Kanagawa, Japan
| | - Kagami Miyaji
- Department of Cardiovascular Surgery, Kitasato University Hospital, Kanagawa, Japan.
| | - Yurie Miyata
- Department of Cardiovascular Surgery, Kitasato University Hospital, Kanagawa, Japan
| | - Atsushi Kitagawa
- Department of Pediatrics, Kitasato University Hospital, Kanagawa, Japan
| |
Collapse
|
5
|
Abstract
Common pulmonary vein atresia is a rare and usually fatal congenital anomaly, in which the pulmonary veins come together to form a confluence that does not connect to the left atrium. We report our experience with three cases of common pulmonary vein atresia and review the literature on this anomaly. The diagnosis of common pulmonary vein atresia must be entertained in any newborn that presents with cyanosis, refractory acidosis, and decreased systemic perfusion within the first 48 hours of life. Echocardiography is a useful screening tool, but cardiac catheterisation is the preferred diagnostic tool. Common pulmonary vein atresia can be fatal without surgical intervention, but survival after surgery continues to be poor.
Collapse
|
6
|
Dominguez Garcia O, Granados Ruiz MA, Sanchez-Redondo MD, Lázaro Salvador M, Juarez Tosina R. A difficult emergency surgical diagnosis: atresia of the common pulmonary vein. Pediatr Cardiol 2009; 30:989-91. [PMID: 19533215 DOI: 10.1007/s00246-008-9320-2] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/13/2008] [Accepted: 10/06/2008] [Indexed: 11/29/2022]
Abstract
A newborn female experienced severe respiratory distress immediately after delivery. She presented with intense cyanosis, refractory hypoxemia, and acidosis. The deterioration was rapidly progressive, leading to the child's demise. The autopsy showed common pulmonary vein atresia, the most severe form of pulmonary venous drainage obstruction. Subpleural and interstitial pulmonary lymphagiectasias also were present as well as evidence of pulmonary hypertension. The lung pathology probably resulted from pulmonary venous atresia during prenatal development.
Collapse
|
7
|
Vaideeswar P, Tullu MS, Sathe PA, Nanavati R. Atresia of the Common Pulmonary Vein-A Rare Congenital Anomaly. CONGENIT HEART DIS 2008; 3:431-4. [DOI: 10.1111/j.1747-0803.2008.00225.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
|
8
|
Abstract
A newborn girl with atresia of the common pulmonary vein, presented immediately after birth with severe cyanosis and acidosis. The diagnosis of totally obstructed total pulmonary venous return was made by cross-sectional echocardiography. Subsequent cardiac catheterization failed to demonstrate the site of pulmonary venous return. Necropsy showed the pulmonary veins to be connected bilaterally to an atretic common pulmonary vein. There was no obvious alternative pathway for pulmonary venous return.
Collapse
Affiliation(s)
- Youcef Sadou
- Neonatal Intensive Care Unit, Ospedali Riuniti di Bergamo, Bergamo, Italy
| | | | | |
Collapse
|