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Transcatheter closure of patent vertical vein after repair of total anomalous pulmonary venous connection: a case series

Published online by Cambridge University Press:  12 May 2021

Mehmet Gumustas
Affiliation:
Department of Pediatric Cardiology, Hacettepe University Faculty of Medicine, Ankara, Turkey
Yasemin N. Donmez*
Affiliation:
Department of Pediatric Cardiology, Hacettepe University Faculty of Medicine, Ankara, Turkey
Hayrettin H. Aykan
Affiliation:
Department of Pediatric Cardiology, Hacettepe University Faculty of Medicine, Ankara, Turkey
Metin Demircin
Affiliation:
Department of Cardiovascular Surgery, Hacettepe University Faculty of Medicine, Ankara, Turkey
Tevfik Karagoz
Affiliation:
Department of Pediatric Cardiology, Hacettepe University Faculty of Medicine, Ankara, Turkey
*
Author for correspondence: Yasemin Nuran Donmez, Tel: +90 533 646 93 90; Fax: +90 312 305 11 58. E-mail: [email protected]

Abstract

Background and objectives:

Total anomalous pulmonary venous connection is a rare cyanotic CHD that requires surgical repair. An unligated vertical vein after total anomalous pulmonary venous connection surgery may help to decrease the episodes of post-operative pulmonary hypertensive crises, low cardiac output syndrome, and mortality. The aim was to assess long-term outcome and our post-operative transcatheter vertical vein closure experiences in five patients with repaired total anomalous pulmonary venous connection patients.

Methods:

A retrospective study was conducted in five cases with an unligated vertical vein following repair of supra-cardiac total anomalous pulmonary venous connection at our hospital from 2011 through 2018. Patients characteristics, cardiac catheterisation findings, surgical, and transcatheter procedural details were retrospectively analysed.

Results:

Transcatheter closure of the unligated vertical vein was technically successful in all the patients. Procedure-related complications were not observed in any of the patients. No long-term complication was found.

Conclusions:

We suggest that transcatheter closure of the patent vertical vein is an effective and well-tolerated alternative to the surgical approach.

Type
Brief Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Reller, MD, Strickland, MJ, Riehle-Colarusso, T, et al. Prevalence of congenital heart defects in metropolitan Atlanta, 1998–2005. J Pediatr 2008; 153: 807813.CrossRefGoogle Scholar
Craig, JM, Darling, RC, Rothney, WB Total pulmonary venous drainage into the right side of the heart; report of 17 autopsied cases not associated with other major cardiovascular anomalies. Lab Invest 1957; 6: 4464.Google Scholar
Kao, CC, Hsieh, CC, Cheng, PJ, et al. Total anomalous pulmonary venous connection: from embryology to a prenatal ultrasound diagnostic update. J Med Ultrasound 2017; 25: 130137.CrossRefGoogle ScholarPubMed
Sinzobahamvya, N, Arenz, C, Brecher, AM, et al. Early and long-term results for correction of total anomalous pulmonary venous drainage (TAPVD) in neonates and infants. Eur J Cardiothorac Surg 1996; 10: 433438.CrossRefGoogle Scholar
Karamlou, T, Gurofsky, R, Al Sukhni, E, et al. Factors associated with mortality and reoperation in 377 children with total anomalous pulmonary venous connection. Circulation 2007; 115: 15911598.CrossRefGoogle ScholarPubMed
Ross, FJ, Joffe, D, Latham, GJ Perioperative and anesthetic considerations in total anomalous pulmonary venous connection. Semin Cardiothorac Vasc Anesth 2017; 21: 138144.CrossRefGoogle ScholarPubMed
Files, MD, Morray, B Total anomalous pulmonary venous connection: preoperative anatomy, physiology, imaging, and interventional management of postoperative pulmonary venous obstruction. Semin Cardiothorac Vasc Anesth 2017; 21: 123131.CrossRefGoogle ScholarPubMed
Kanter, KR Surgical repair of total anomalous pulmonary venous connection. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2006: 4044.CrossRefGoogle ScholarPubMed
Vanderlaan, RD, Caldarone, CA Surgical approaches to total anomalous pulmonary venous connection. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu 2018; 21: 8391.CrossRefGoogle ScholarPubMed
Shaw, FR, Chen, JM Surgical considerations in total anomalous pulmonary venous connection. Semin Cardiothorac Vasc Anesth 2017; 21: 132137.CrossRefGoogle ScholarPubMed
Sakamoto, T, Nagashima, M, Umezu, K, et al. Long-term outcomes of total correction for isolated total anomalous pulmonary venous connection: lessons from 50-years’ experience. Interact Cardiovasc Thorac Surg, 2018; 27: 2026.CrossRefGoogle ScholarPubMed
Shi, G, Zhu, Z, Chen, J, et al. Total anomalous pulmonary venous connection: the current management strategies in a pediatric cohort of 768 patients. Circulation 2017; 135: 4858.CrossRefGoogle Scholar
Chowdhury, UK, Subramaniam, KG, Joshi, K, et al. Rechanneling of total anomalous pulmonary venous connection with or without vertical vein ligation: results and guidelines for candidate selection. J Thorac Cardiovasc Surg 2007; 133: 12861294, 1294 e1-4.CrossRefGoogle ScholarPubMed
Saritas, B, Celik, M, Tatar, T, et al. The outcome of the vertical vein left intact during the surgery for total anomalous venous connection and its effects on ventricular functions. Anadolu Kardiyol Derg 2011; 11: 638642.Google ScholarPubMed
Lombardi, M, Tagliente, MR, Pirolo, T, et al. Transcatheter closure of an unligated vertical vein with an Amplatzer Vascular Plug-II device. J Cardiovasc Med (Hagerstown) 2016; 17 (Suppl 2): e221e223.CrossRefGoogle ScholarPubMed
Devendran, V, Wilson, N, Jesudian, V Percutaneous closure of a large unligated vertical vein using the Amplatzer Vascular Plug II after supracardiac total anomalous pulmonary venous connection (TAPVC) repair. Pediatr Cardiol 2013; 34: 19761978.CrossRefGoogle ScholarPubMed
Kobayashi, D, Forbes, TJ, Delius, RE, et al. Amplatzer vascular plug for transcatheter closure of persistent unligated vertical vein after repair of infracardiac total anomalous pulmonary venous connection. Catheter Cardiovasc Interv 2012; 80: 192198.CrossRefGoogle ScholarPubMed
Narula, N, Wilson, N, Kumar, RS Transcatheter closure of persistent unligated vertical vein after TAPVC surgery using the Amplatzer PDA device. Catheter Cardiovasc Interv 2007; 70: 117119.CrossRefGoogle ScholarPubMed
Amoozgar, H, Ahmadipoor, M, Amirghofran, AA Transcatheter closure of partially ligated vertical vein after surgical correction of supracardiac total anomalous pulmonary venous connection. J Tehran Heart Cent 2015; 10: 152155.Google ScholarPubMed
Verma, S, Subramanian, A, Saileela, R, et al. Transcatheter closure of patent vertical vein after repair of total anomalous pulmonary venous connection. Ann Pediatr Cardiol 2015; 8: 221224.Google ScholarPubMed