Surgical approaches for correcting PAPVR. For anomalous veins connecting portions of the left lung to the left brachiocephalic vein

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Surgical approaches for correcting PAPVR. For anomalous veins connecting portions of the left lung to the left brachiocephalic vein, the anomalous vein is reconnected directly to the LA. For anomalous veins connecting portions of the right lung to the SVC, the SVC is reconnected to the right atrial appendage and blood from the anomalous vein is shunted, with the help of a pericardial patch, though a newly-created (or enlarged) ASD into the LA. Alternatively, there have been reports of GORE-TEX™ grafts being used to create a conduit crossing the right atrium. 

References:

Sears EH, Klinger JR, Aliotta JM. Partial anomalous pulmonary venous return presenting with adult-onset pulmonary hypertension. Pulmonary Circulation. 2012;2(2):253.

Topics

Pulmonary Hypertension

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PVRI Chronicle Vol 1: Issue 2 cover image

December 2014

PVRI Chronicle Vol 1: Issue 2

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