| A Case of Total Anomalous Pulmonary
Venous Connection with Two Vertical Veins Draining to the Infracardiac
Level |
(Cardiovascular Surgery, Seirei Hamamatsu General
Hospital, Hamamatsu, Japan)
| Yoshifumi Kunii |
Masaaki Koide |
Yoshikazu Ayusawa |
|
Infracardiac type total anomalous
pulmonary venous connection (TAPVC) was diagnosed in a 1-day-old
boy. We performed emergency total correction on day 1 and found
2 vertical veins draining to the infracardiac level separately.
Each vertical vein was rerouted to the left atrium. On the first
postoperative day, an extracorporeal membrane oxygenation was
required because of respiratory failure. He died due to cerebral
hemorrhage on the 5th day after the operation. Macroscopic findings
showed the right sided vertical vein draining to the IVC, and
the left sided one to the confluence of the hepatic vein and
ductus venosus. Microscopic findings of the lung revealed markedly
dilated lymphatics which was suspected as the cause of respiratory
failure. Although cases with 2 separate vertical veins are very
rare, the precise anatomy of PV return has to be checked intraoperatively
when the preoperative identification has not been established.
Jpn. J. Cardiovasc. Surg. 33: 175-177 (2004) |
|
