Eur J Cardiothorac Surg 2004;25:281
© 2004 Elsevier Science NL
Images in cardio-thoracic surgery |
Mixed total anomalous pulmonary venous connection
Enrico Aidala*,
Pietro Angelo Abbruzzese
Department of Pediatric Cardiac Surgery, Ospedale Infantile "Regina Margherita" Piazza Polonia 94, 10126 Torino, Italy
Received 9 July 2003;
received in revised form 4 September 2003;
accepted 10 September 2003.
* Corresponding author. Via delle Camelie 16, 10090 Bruino (TO), Italy. Tel.: +39-011-3135807; fax: +39-011-3135482
e-mail: enri.ema{at}tiscalinet.it
Key Words: Congenital heart • Cyanotic • Heart surgery • Pulmonary veins • Anomalous pulmonary venous connection
A mixed total anomalous pulmonary venous connection, never previously reported, to our knowledge, is shown: all pulmonary veins but the left superior one drained into a common confluence, reaching the coronary sinus; the latter vein reached a left cardinal vein, with a secondary connection to the venous confluence (Fig. 1) . We successfully rerouted the coronary sinus and ligated the cardinal vein. Four months postoperatively the patient is well, with echocardiographic gradient neither on the anastomosis nor on the accessory connection.
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Fig. 1. Surgical orientation. RV, right ventricle; RA, right appendage; Ao, aorta; PATr, pulmonary arterial trunk; PDA, ductus arteriosus; LPA, left pulmonary artery; LSPV, left superior pulmonary vein; LIPV, left inferior pulmonary vein; LCV, left cardinal vein; VC, venous confluence; AC, accessory connection.
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