Técnica de Warden modificada para corrección de drenaje venoso pulmonar anómalo parcial. Reporte de caso

Denis Manuel Carrasco Herrera; Harod Anders Silva Tejada; Aldrix Josué Sisniegas Razón

doi:10.47487/apcyccv.v7i1.536

Authors

Denis Manuel Carrasco Herrera Instituto Nacional Cardiovascular «Carlos Alberto Peschiera Carrillo», Lima, Perú. https://orcid.org/0000-0003-3872-3565
Harod Anders Silva Tejada Instituto Nacional Cardiovascular «Carlos Alberto Peschiera Carrillo», Lima, Perú. https://orcid.org/0000-0002-8249-8468
Aldrix Josué Sisniegas Razón Hospital Nacional Arzobispo Loayza, Lima, Perú. https://orcid.org/0000-0001-5413-6032

DOI:

https://doi.org/10.47487/apcyccv.v7i1.536

Keywords:

Atrial Septal Defect, Anomalous Pulmonary Venous Return, Cardiac Surgical Procedures

Abstract

Partial anomalous pulmonary venous drainage is an uncommon condition representing 0.6% of all congenital malformations that may be associated with an atrial septal defect. In the present report, we describe a modification of the Warden technique for surgical repair of partial anomalous pulmonary venous drainage with atrial septal defect by using a superior vena cava flap and a right atrial appendage flap to create a new tension-free cavoatrial continuity (neo right superior vena cava), along with redirection of the anomalous pulmonary veins to the left atrium through the atrial septal defect using an autologous pericardial patch. The patient had a favorable postoperative course, with no evidence of residual shunt or obstructive gradient across the anastomosis, and was discharged on postoperative day six.

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