Percutaneous Delayed Closure of the Vertical Vein for Severe Left-Sided Heart Failure after Repair of the Total Anomalous Pulmonary Venous Drainage.
10.4326/jjcvs.20.1524
- VernacularTitle:総肺静脈還流異常症根治術において垂直静脈の経皮的二期的閉鎖を要し，救命しえた１例
- Author:
Masahiko IIO
;
Katsuhiko MIYAMOTO
;
Osamu KURODA
;
Tadashi NAKAGAWA
;
Noboru INAMURA
;
Hikaru MATSUDA
- Publication Type:Journal Article
- From:Japanese Journal of Cardiovascular Surgery
1991;20(9):1524-1527
- CountryJapan
- Language:Japanese
-
Abstract:
A 31-day-old infant with total anomalous pulmonary venous drainage (type I-A) suffered from severs left-sided heart failure unable to be weaned from cardiopulmonary bypass (CPB) after total repair. By reopening the vertical vein, the CPB was successfully terminated and the sternum was closed primarily. Percutaneous delayed closure of the vertical vein by lifting up the string which had been encircled the vertical vein at the time of repair was performed 3 days after repair. Systemic arterial pressure and left atrial pressure were unchanged after closure of the vertical vein. Postoperative cardiac study revealed satisfactory result and no left-to-right shunt through the vertical vein.
