Unusual type of partial anomalous pulmonary venous connection: Three pulmonary veins connected to the coronary sinus

2017 ◽  
Vol 32 (11) ◽  
pp. 727-728 ◽  
Author(s):  
Min Namkoong ◽  
Kuk Bin Choi ◽  
Cheul Lee
Keyword(s):  
Coronary Sinus ◽  
Pulmonary Veins ◽  
Anomalous Pulmonary Venous Connection ◽  
Unusual Type

Dual drainage total anomalous pulmonary venous connection: a rare mixed variant

2018 ◽  
Vol 26 (4) ◽  
pp. 305-307 ◽  
Author(s):  
Ch Bharat Siddharth ◽  
Mayank Yadav ◽  
Amol Bhoje ◽  
Milind P Hote
Keyword(s):  
Computed Tomography ◽  
Adult Patient ◽  
Coronary Sinus ◽  
Mixed Type ◽  
Pulmonary Veins ◽  
Common Variant ◽  
Venous Anatomy ◽  
Vertical Vein ◽  
Anomalous Pulmonary Venous Connection ◽  
Mixed Variant

The mixed type of total anomalous pulmonary venous connection is the least common variant, occurring in approximately 5% of all patients. Dual drainage through a common venous confluence is much rarer. Computed tomography to delineate the exact pulmonary venous anatomy is a must in such cases. Correct preoperative recognition and intraoperative confirmation to check the drainage of all 4 pulmonary veins is essential in all cases of total anomalous pulmonary venous connection. We report the case of an adult patient with dual drainage to coronary sinus and left vertical vein to innominate vein.

Supracardiac Total Anomalous Pulmonary Venous Connection

KYAMC Journal ◽  
2019 ◽  
Vol 10 (2) ◽  
pp. 118-121
Author(s):  
ASM Shariful Islam ◽  
Md Lutfar Rahman ◽  
Jayanta Kumar Saha ◽  
Mohammad Arifur Rahman ◽  
Mezanur Rahman ◽  
...  
Keyword(s):  
Left Atrium ◽  
Ductus Arteriosus ◽  
Pulmonary Veins ◽  
Hypertensive Crisis ◽  
Right Heart Failure ◽  
Residual Shunt ◽  
Low Cardiac Output Syndrome ◽  
Vertical Vein ◽  
Autologous Pericardial Patch ◽  
Anomalous Pulmonary Venous Connection

Total anomalous pulmonary venous connection (TAPVC) is a rare congenital heart disease in which there is developmental absence of connection of all four pulmonary veins with the left atrium. To report a rare case and share our experience in surgery and post-operative management for supracardiac TAPVC. Patient with supracardiac TAPVC with atrial septal defect (ASD) secundum variety with rudimentary patent ductus arteriosus (PDA) underwent rechanneling of pulmonary veins to left atrium (LA) with gluteryldehye treated autologous pericardial patch closure of ASD with ligation of ascending vertical vein and ligation of rudimentary PDA.Post operatively there were no events of pulmonary hypertensive crisis, low cardiac output syndrome, right heart failure or conduction defect were observed and echocardiogram showed adequate pulmonary venous drainage with no residual shunt across the interatrial septum. Marked development in surgical results of TAPVC has been observed in recent years with declining mortality rate from 65% in early sixties to 5% in current surgical scenerio. KYAMC Journal Vol. 10, No.-2, July 2019, Page 118-121

scholarly journals Left Circumflex Artery Rupture with Left Atrial Tamponade and Functional Mitral Stenosis

2018 ◽  
Vol 2018 ◽  
pp. 1-5
Author(s):  
Weiting Huang ◽  
Khaled Mohamed Emadeldin Moheb Hammad ◽  
Victor Tar Toong Chao ◽  
Khung Keong Yeo
Keyword(s):  
Left Atrium ◽  
Coronary Sinus ◽  
Mitral Stenosis ◽  
Left Atrial ◽  
Pulmonary Veins ◽  
Fluid Collection ◽  
Artery Dissection ◽  
Circumflex Artery ◽  
Left Circumflex Artery ◽  
Coronary Syndrome

The growth in percutaneous transluminal devices has enabled operators to tackle more complex, native, and post-bypass surgery anatomy. However, complications such as coronary artery dissection, coronary perforation, retrograde aortic dissection, arrhythmias, and acute coronary syndrome still occur with resulting mortality rates of up to 4.2% in complex interventions. Perforation of the circumflex artery is of particular interest in view of its position and relation to the surrounding cardiac structures. This is a site of potential fluid collection, and as the left atrium is fixed to the parietal pericardium at the entry of the pulmonary veins, fluid in the oblique sinus can accumulate enough pressure to compress the left atrium and the coronary sinus. We present a case of left circumflex artery perforation which demonstrates the physiologic complications of coronary sinus and left atrial compression and the resultant functional mitral stenosis.

Cor Triatriatum in Association With a Unique Form of Partial Anomalous Pulmonary Venous Connection

2021 ◽  
pp. 215013512110469
Author(s):  
Lou Capecci ◽  
Richard D. Mainwaring ◽  
Inger Olson ◽  
Frank L. Hanley
Keyword(s):  
Superior Vena Cava ◽  
Superior Vena ◽  
Pulmonary Veins ◽  
Vena Cava ◽  
Venous Drainage ◽  
Cor Triatriatum ◽  
Unique Form ◽  
Elective Repair ◽  
The Right ◽  
Anomalous Pulmonary Venous Connection

Cor triatriatum may be associated with abnormalities of pulmonary venous anatomy. This case report describes a unique form of partial anomalous pulmonary venous connection. The patient presented at 5 weeks of age with symptoms of tachypnea and poor feeding. Echocardiography demonstrated cor triatriatum and partial anomalous pulmonary venous drainage of the right upper lung. The patient underwent urgent repair of cor triatriatum. It was elected to not address the partial anomalous pulmonary venous connection at that time. The patient returned at age 19 months for elective repair of the anomalous pulmonary venous connection. There was also a large vein connecting the right lower pulmonary veins to the superior vena cava. This was repaired by dividing the superior vena cava along a vertical axis to redirect the flow of the anomalous pulmonary veins through the connecting vein to the left atrium. This report describes the anatomy and surgical approach to a unique form of anomalous pulmonary venous connection.

scholarly journals Unligated vertical vein presenting as a large atrio-portal shunt in adulthood: a case report

2020 ◽  
Vol 2020 (10) ◽  
Author(s):  
Georgia R Layton ◽  
Marinos Koulouroudias ◽  
Eyad Issa ◽  
Steve Jepson ◽  
Antonio F Corno ◽  
...  
Keyword(s):  
Case Report ◽  
Portal Vein ◽  
Adult Patient ◽  
Pulmonary Veins ◽  
Systemic Circulation ◽  
Review Of The Literature ◽  
Right Heart ◽  
Vertical Vein ◽  
Initial Surgery ◽  
Anomalous Pulmonary Venous Connection

Abstract A 28-year-old male with infra-cardiac totally anomalous pulmonary venous connection (TAPVC) repaired as new-born presented in adulthood with right heart strain and very large left atrium to portal vein vessel. Residual connections from pulmonary veins to systemic circulation are believed to represent persistent ‘vertical veins’ (VV) not ligated at the time of the initial surgery. In our patient, since endovascular occlusion was not judged suitable, the anomalous vessel was surgically ligated and resected. A review of the literature failed to find such a procedure reported in an adult patient and analyzed the intra-operative ligation of VV during repair of TAPVC.

scholarly journals Echocardiographic diagnosis of partial anomalous pulmonary venous connection from right upper lobe to the coronary sinus

1995 ◽  
Vol 18 (12) ◽  
pp. 735-737 ◽  
Author(s):  
Y. Otsuji ◽  
A. Kisanuki ◽  
S. Arima ◽  
S. Shimokawa ◽  
A. Taira ◽  
...  
Keyword(s):  
Coronary Sinus ◽  
Anomalous Pulmonary Venous Connection

Descending aortic flow reversal in obstructed total anomalous pulmonary venous connection

2016 ◽  
Vol 26 (5) ◽  
pp. 1002-1004
Author(s):  
Anupama K. Nair ◽  
Sitaraman Radhakrishnan ◽  
Krishna S. Iyer
Keyword(s):  
Ductus Arteriosus ◽  
Pulmonary Veins ◽  
Left Ventricular ◽  
Flow Reversal ◽  
Aortic Flow ◽  
Severe Pulmonary Hypertension ◽  
Descending Thoracic Aorta ◽  
Descending Aorta ◽  
Left Ventricular Output ◽  
Anomalous Pulmonary Venous Connection

AbstractIn this study, we present the case of a neonate with obstructed infracardiac total anomalous pulmonary venous connection with severe pulmonary hypertension and a patent ductus arteriosus with right-to-left shunting. The patient had an unusual finding of pandiastolic flow reversal in the upper descending thoracic aorta. He underwent emergency surgical re-routing of the pulmonary veins to the left atrium, and postoperative echocardiography showed disappearance of the descending aortic flow reversal. We hypothesise that in severely obstructed total anomalous pulmonary venous connection the left ventricular output may be extremely low, resulting in flow reversal in the descending aorta.

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