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A technique for repair of partial anomalous pulmonary vein connection to the superior vena cava José Pedro da Silva, MD, Luciana da Fonseca da Silva, MD, Cintia Acosta Melo, MD, Lilian Maria Lopes, MD The Journal of Thoracic and Cardiovascular Surgery Volume 147, Issue 4, Pages (April 2014) DOI: /j.jtcvs Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions
Figure 1 A, The abnormal connection between the right superior pulmonary vein (RSPV) and the superior vena cava (SVC) is very high. The sinus venosus atrial septal defect is shown by the transparency. The dashed lines indicate where to make the incision to separate the RSPV from the SVC, the SVC level of section, and the right atriotomy place. B, After separation of the RSPV from the SVC, the hole was closed with a fresh pericardial patch. Another in situ or free pericardial patch was used to enlarge the anastomotic mouth of the RSPV, which will be sutured to the atrial side of the sectioned SVC. A Dacron patch was sutured to the inferior edge of the enlarged atrial septal defect and upward, blocking the SVC orifice to direct the blood flow from the anomalous RSPV into the left atrium. Next, the superior end of the sectioned SVC was sutured to the right atrial appendage. The Journal of Thoracic and Cardiovascular Surgery , DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions
Figure 2 Angiographic computed tomography results. Preoperative angiographic view of (A), the right superior pulmonary vein (RSPV) connected very high to the superior vena cava (SVC) and (B), the left superior pulmonary vein (LSPV) connected to the innominate vein (IV). Postoperative angiogram of (C), the new connection between the RSPV and the left atrium (LA), (D), the SVC connection to the right atrial appendage (RAA), and (E), the connection of the left superior pulmonary vein to the left atrial appendage (LAA). RA, Right atrium. The Journal of Thoracic and Cardiovascular Surgery , DOI: ( /j.jtcvs ) Copyright © 2014 The American Association for Thoracic Surgery Terms and Conditions
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