Hostname: page-component-586b7cd67f-t7czq Total loading time: 0 Render date: 2024-11-23T08:29:59.875Z Has data issue: false hasContentIssue false
  • English
  • Français

A rare association of major aorto-pulmonary collaterals with right isomerism and totally anomalous pulmonary venous drainage

Published online by Cambridge University Press:  18 November 2005

Sanjay Kumar ,
Junaid Ansari  and
Nihal Weerasena
Sanjay Kumar
Affiliation:
Department of Cardiothoracic Surgery, Yorkshire Heart Centre, Leeds General Infirmary, Leeds, United Kingdom
Junaid Ansari
Affiliation:
Department of Cardiothoracic Surgery, Yorkshire Heart Centre, Leeds General Infirmary, Leeds, United Kingdom
Nihal Weerasena
Affiliation:
Department of Cardiothoracic Surgery, Yorkshire Heart Centre, Leeds General Infirmary, Leeds, United Kingdom
Get access Rights & Permissions [Opens in a new window]

Abstract

A female neonate, born at term, presented with complex cardiac anatomy dominated by right isomerism and infra-diaphragmatic totally anomalous pulmonary venous connection. Surgical repair was performed using circulatory arrest under deep hypothermia. In the postoperative period, the patient could not be weaned off mechanical ventilation, and underwent cardiac catheterization. This revealed major aortopulmonary collateral arteries, which were occluded with coils. We review the literature with specific focus on the occurrence of this unusual combination and its implication in the management during the postoperative period.

Keywords

Complex congenital heart diseasesystemic-pulmonary collateralsinfracardiac total anomalous pulmonary venous drainageheterotaxy syndrome
Type
Brief Report
Information
Cardiology in the Young , Volume 15 , Issue 6 , December 2005 , pp. 643 - 646
Copyright
© 2005 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

Hashmi A, Abu-Sulaiman R, McCrindle BW, Smallhorn JF, Williams WG, Freedom RM. Management and outcomes of right atrial isomerism: a 26-year experience. J Am Coll Cardiol 1998; 31: 1120–1126.Google Scholar
Caldarone CA, Najm HK, Kadletz M, et al. Surgical management of total anomalous pulmonary venous drainage: impact of coexisting cardiac anomalies. Ann Thorac Surg 1998; 66: 1521–1526.Google Scholar
Uemura H, Ho SY, Devine WA, Kilpatrick LL, Anderson RH. Atrial appendages and venoatrial connections in hearts from patients with visceral heterotaxy. Ann Thorac Surg 1995; 60: 561–569.Google Scholar
Sinzobahamvya N, Arenz C, Brecher AM, Blaschczok HC, Urban AE. Early and long-term results for correction of total anomalous pulmonary venous drainage (TAPVD) in neonates and infants. Eur J Cardiothorac Surg 1996; 10: 433–438.Google Scholar
Feller Printz B, Allan LD. Abnormal pulmonary venous return diagnosed prenatally by pulsed Doppler flow imaging. Ultrasound Obstet Gynecol 1997; 9: 347–349.Google Scholar
Saxena A, Reddy SC, Kothari SS, Juneja R, Venugopal P, Shrivastava S. Mixed variety of total anomalous pulmonary venous connection: diagnosis by 2D echocardiography and Doppler colour flow imaging. Ind Heart J 1999; 51: 65–68.Google Scholar
Imoto Y, Kado H, Asou T, Shiokawa Y, Tominaga R, Yasui H. Mixed type of total anomalous pulmonary venous connection. Ann Thorac Surg 1998; 66: 1394–1397.Google Scholar
Shiraishi I, Yamagishi M, Iwasaki N, Toiyama K, Hamaoka K. Helical computed tomographic angiography in obstructed total anomalous pulmonary venous drainage. Ann Thorac Surg 2001; 71: 1690–1692.Google Scholar
Haworth SG, Reid L. Structural study of pulmonary circulation and of heart in total anomalous pulmonary venous return in early infancy. Br Heart J 1977; 39: 80–92.Google Scholar
Maeda K, Yamaki S, Yokota M, Murakami A, Takamoto S. Hypoplasia of the small pulmonary arteries in total anomalous pulmonary venous connection with obstructed pulmonary venous drainage. J Thorac Cardiovasc Surg 2004; 127: 448–456.Google Scholar