Cierre percutáneo de vena vertical, posterior a la reparación de conexión anómala pulmonar total supracardiaca, usando oclusor para defecto del septum atrial. Reporte de caso

Alex Catalán Cabrera; Karen Condori Alvino

doi:10.47487/apcyccv.v4i4.319

Authors

Alex Catalán Cabrera Área de Cateterismo Cardiaco Pediátrico, Instituto Nacional de Salud del Niño de San Borja, Lima, Perú. https://orcid.org/0000-0001-8341-2737
Karen Condori Alvino Área de Cateterismo Cardiaco Pediátrico, Instituto Nacional de Salud del Niño de San Borja, Lima, Perú. https://orcid.org/0000-0003-0833-2256

DOI:

https://doi.org/10.47487/apcyccv.v4i4.319

Keywords:

Pulmonary vein, Septal Occluder Device, Congenital Heart Disease

Abstract

In patients operated on for total supracardiac anomalous pulmonary venous connection (TAPVC-SC), not ligating the vertical vein (VV) routinely helps to maintain greater hemodynamic stability in the postoperative period, and in many cases, spontaneous closure will be achieved. However, if the VV remains patent, it leads to a pre-tricuspid shunt with significant pulmonary hyperflow, requiring surgical or percutaneous closure. We present the case of a post-operated patient for non-obstructive TAPVC-SC with patent VV, in whom percutaneous closure was performed using an atrial septal Occluder.

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References

Brown DV, Geva T. Anomalies of the pulmonary veins. In: Allen HD, Driscoll DJ, Shaddy RE, Feltes TF, editors. Moss and Adams’ Heart Disease in Infants, Children, and Adolescents: Including the Fetus and Young Adult. 8th ed. Philadelphia: Lippincott Williams & Wilkins; 2013. p. 809-39.

Kanter KR. Surgical repair of total anomalous pulmonary venous connection. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2006:40-4. doi: 10.1053/j.pcsu.2006.02.015.

Hirsch JC, Bove EL. Total anomalous pulmonary venous connection. Multimed Man Cardiothorac Surg. 2007;2007(507):mmcts.2006.002253. doi: 10.1510/mmcts.2006.002253.

Narula N, Wilson N, Kumar RS. Transcatheter closure of persistent unligated vertical vein after TAPVC surgery using the Amplatzer PDA device. Catheter Cardiovasc Interv. 2007;70(1):117-9. doi: 10.1002/ccd.20994.

Kumar RN, Dharmapuram AK, Rao IM, Gopalakrishnan VC, Pillai VR, Nazer YA, et al. The fate of the unligated vertical vein after surgical correction of total anomalous pulmonary venous connection in early infancy. J Thorac Cardiovasc Surg. 2001;122(3):615-7. doi: 10.1067/mtc.2001.114097.

Chowdhury UK, Subramaniam KG, Joshi K, Varshney S, Kumar G, Singh R, et al. Rechanneling of total anomalous pulmonary venous connection with or without vertical vein ligation: results and guidelines for candidate selection. J Thorac Cardiovasc Surg. 2007;133(5):1286-94, 1294.e1-4. doi: 10.1016/j.jtcvs.2006.08.010.

Aroca Á, Polo L, Bret M, López-Ortego P, González Á, Villagrá F. Drenaje venosa pulmonar anómalo total. Técnicas y resultados. Cir Cardiovasc. 2014;21(2):90-6. doi: 10.1016/j.circv.2014.02.001.

Kobayashi D, Forbes TJ, Delius RE, Aggarwal S. Amplatzer vascular plug for transcatheter closure of persistent unligated vertical vein after repair of infracardiac total anomalous pulmonary venous connection. Catheter Cardiovasc Interv. 2012;80(2):192-8. doi: 10.1002/ccd.23497.

Lombardi M, Tagliente MR, Pirolo T, Massari E, Sisto M, Vairo U. Transcatheter closure of an unligated vertical vein with an Amplatzer Vascular Plug-II device. J Cardiovasc Med (Hagerstown). 2016;17 Suppl 2:e221-e223. doi: 10.2459/JCM.0000000000000197.