Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-23T03:26:54.531Z Has data issue: false hasContentIssue false
  • English
  • Français

Acquired stenosis of normally connected pulmonary veins

Published online by Cambridge University Press:  20 April 2007

Shanta Chakrabarti ,
Ralph Mittal ,
James P Gnanapragasam  and
Robin P. Martin
Shanta Chakrabarti
Affiliation:
Bristol Congenital Heart Centre, Bristol Royal Hospital for Children, Bristol United Kingdom
Ralph Mittal
Affiliation:
Bristol Congenital Heart Centre, Bristol Royal Hospital for Children, Bristol United Kingdom
James P Gnanapragasam
Affiliation:
Department of Paediatric Cardiology, Southampton General Hospital, Southampton, United Kingdom
Robin P. Martin
Affiliation:
Bristol Congenital Heart Centre, Bristol Royal Hospital for Children, Bristol United Kingdom
Get access Rights & Permissions [Opens in a new window]

Abstract

Pulmonary venous stenosis has been a challenge to paediatric cardiologists and surgeons. In spite of significant improvements in the management and outcome of various congenital cardiac problems, the prognosis of this condition continues to be dismal. Acquired stenosis of the pulmonary veins has been described in the adult population, especially after radiofrequency ablation for atrial arrhythmias. The outcome of this condition has generally been described to be favourable in the long term. Acquisition of pulmonary venous stenosis in childhood has a very different outcome, and is not a very well recognised entity, with symptoms and signs which are non-specific. We present 7 infants who, when first assessed, had normal pulmonary veins, but who subsequently acquired stenoses of the veins, with very significant resultant morbidity and mortality.

Keywords

Pulmonary hypertensioncardiac surgerycutting balloon angioplastystentsechocardiography
Type
Original Article
Information
Cardiology in the Young , Volume 17 , Issue 3 , June 2007 , pp. 322 - 327
Copyright
© 2007 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Van de Wal HJ, Hamilton DI, Godman MJ, Harinck E, Lacquet LK, van Oort A. Pulmonary venous obstruction following correction for total anomalous pulmonary venous drainage: a challenge. Eur J Cardiothorac Surg 1992; 6: 545–549.Google Scholar
Rumoroso JR, Agredo J, Alcibar J, Gochi R, Montes PM, Barrenetxea JI. Congenital stenosis of pulmonary veins in the adult. Rev Esp Cardiol 1996; 49: 697–700.Google Scholar
Chakrabarti S, Tsao S, Vettukattil JJ, Gnanapragasam JP. Pulmonary vein stenosis mimicking chronic lung disease. Acta Paediatr 2003; 92: 857–858.Google Scholar
Kort HW, Hills C, Larson V, Johnson MC. Increased incidence of pulmonary vein stenosis in patients with atrioventricular canal: A multi-institutional study. [abstract] J Am Coll Cardiol 2004; 43 (Suppl 2, 3): PA386 .Google Scholar
Guntheroth W , Miyaki-Hull C. Coanda effect on ductal flow in the pulmonary artery. J Ultrasound Med 1999; 18: 203–206.Google Scholar
Jaillard SM, Godart FR, Rakza T, et al. Acquired pulmonary vein stenosis as a cause of life-threatening pulmonary hypertension. Ann Thorac Surg 2003; 75: 275–277.Google Scholar
Sadr IM, Tan E, Kieran MW, Jenkins KJ. Mechanism of pulmonary vein stenosis in infants with normally connected veins. Am J Cardiol 2000; 86: 577–579.Google Scholar
Sun CC, Doyle T, Ringel RE. Pulmonary vein stenosis. Hum Pathol 1995; 26: 880–886.Google Scholar
Devaney EJ, Chang AC, Ohye RG, Bove EL. Management of congenital and acquired pulmonary vein stenosis. Ann Thorac Surg 2006; 81: 992.Google Scholar
Coffin CM, Neilson KA, Ingels S, Frank-Gerszberg R, Dehner LP. Congenital generalised myofibromatosis. Pediatr Pathol Lab Med 1995; 15: 571–587.Google Scholar
Pittet B, Rubbia-Brandt L, Desmouliere A, et al. Effects of gamma interferon on clinical and biological evolution of hypertrophic scars and Dupuytrens disease: an open pilot study. Plast Reconstr Surg 1994; 93: 1224–1235.Google Scholar
Moses JW, Leon MB, Popma JJ, et al. Sirolimus-eluting stents versus standard stents in patients with stenosis in a native coronary artery. N Engl J Med 2003; 349: 1315–1323.Google Scholar
Moses JW, Mehran R, Nikolsky E, et al. Outcomes with the paclitaxel-eluting stent in patients with acute coronary syndromes: analysis from the TAXUS-IV trial. J Am Coll Cardiol 2005; 45: 1165–1171.Google Scholar