scholarly journals Effectiveness of posterior aortopexy for the left pulmonary vein obstruction between the left atrium and the descending aorta

Author(s):  
Kwang Ho Choi ◽  
Hyungtae Kim ◽  
Si Chan Sung ◽  
Hyoung Doo Lee ◽  
Hoon Ko ◽  
...  
Author(s):  
Kwang Ho Choi ◽  
Hyungtae Kim ◽  
Si Chan Sung ◽  
Hyoung Doo Lee ◽  
Hoon Ko ◽  
...  

Background: Left pulmonary vein (PV) obstruction can occur due to compression between the left atrium (LA) and the descending aorta (DA). One of the effective solutions for this problem is posterior aortopexy. In this study, we have reported five cases of posterior aortopexy to relieve left PV obstruction between the LA and the DA. Methods: Since August 2012, five patients have undergone posterior aortopexy for compression of the left PV between the LA and the DA. The median age and weight of the patients at the time of operation were 5.5 months (range, 1-131 months) and 5.2 kg (range, 4.2-29.5 kg), respectively. The left PV obstruction was initially diagnosed on echocardiography in four patients and computed tomography angiography in one patient. The median peak pressure gradient across the obstructed left PV was 7.3 mmHg (range, 4-20 mmHg). Concomitant procedures were ventricular septal defect closure in one patient and patent ductus arteriosus ligation in one patient. Results: There was no PV obstruction on echocardiography in any of the patients after the operation except in the case of one patient who had diffuse pulmonary vein stenosis. The median follow-up duration was 34 months (range, 14-89 months), and during follow-up no incidence of the left PV obstruction was observed in any of the surviving patients. Conclusions: The posterior aortopexy technique could be a good surgical option for the left PV obstruction caused by compression between the LA and the anteriorly positioned DA.


CHEST Journal ◽  
2013 ◽  
Vol 143 (2) ◽  
pp. 549-553 ◽  
Author(s):  
Yijie Hu ◽  
Qianjin Zhong ◽  
Zhiping Li ◽  
Jianming Chen ◽  
Cheng Shen ◽  
...  

1982 ◽  
Vol 242 (5) ◽  
pp. R452-R457 ◽  
Author(s):  
M. J. Moore-Gillon ◽  
J. T. Fitzsimons

A chronically implanted inflatable balloon was used to produce distension of a left pulmonary vein at its junction with the left atrium in trained conscious dogs. Balloon inflation caused a fall in the amounts of water drunk in response to injection of isoproterenol, infusion of hypertonic NaCl, or overnight water deprivation. There was also a significant increase in heart rate, but arterial, central venous, and left atrial pressures were unaltered. Blockade of the left vagosympathetic nerve prevented the inhibitory action of distension of a pulmonary vein on water intake in response to injection of isoproterenol. In experiments where the balloon was left inflated for 24 h, distension also caused a fall in the spontaneous daily water intake, whereas food intake was unaffected. Despite the fall in water intake, urine flow increased so that the dog went into negative fluid balance. In conclusion, distension of a pulmonary vein at its junction with the left atrium causes reduction in both spontaneous and induced water intake, and this inhibition is not secondary to circulatory changes or fluid retention by the kidney. The action of the receptors concerned may complement the actions of the same or similar receptors on renal function whose effects have been observed previously in acute experiments in anesthetized animals and here for the first time in conscious animals.


2018 ◽  
Vol 155 (2) ◽  
pp. e69-e70 ◽  
Author(s):  
Yasuhiro Kotani ◽  
Toshikazu Sano ◽  
Sadahiko Arai ◽  
Shingo Kasahara

2020 ◽  
Vol 36 (6) ◽  
pp. 1096-1099
Author(s):  
Maki Oi ◽  
Shinnosuke Nomura ◽  
Mitsunori Miho ◽  
Takayasu Kobayashi ◽  
Marie Okabayashi ◽  
...  

2013 ◽  
Vol 29 (2) ◽  
pp. 137-139
Author(s):  
Sunil Agrawal ◽  
Pankaj Kumar Srivastava ◽  
Geevarghese Mathew ◽  
Kotturathu Maman Cherian

Sign in / Sign up

Export Citation Format

Share Document