[HSF] ask Pasanna

[Prasanna Simha M]

I am in th hospital and so a quick response - will look in detail later.
* *Jpn J Thorac Cardiovasc Surg. <javascript:AL_get(this, 'jour', 'Jpn J
Thorac Cardiovasc Surg.');> 1998 Nov;46(11):1211-4. Related
Articles,<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?itool=pubmed_Abstract&db=pubmed&cmd=Display&dopt=pubmed_pubmed&from_uid=9884580&itool=ExternalSearch>
Links <javascript:PopUpMenu2_Set(Menu9884580);>
*[Surgical repair of coronary sinus type partial anomalous pulmonary venous
drainage with intact atrial septum]*

[Article in Japanese]

*Aoki A*<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_Abstract&term=%22Aoki+A%22%5BAuthor%5D>,
*Kubota T*<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_Abstract&term=%22Kubota+T%22%5BAuthor%5D>,
*Nakai M*<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_Abstract&term=%22Nakai+M%22%5BAuthor%5D>,
*Inoue M*<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_Abstract&term=%22Inoue+M%22%5BAuthor%5D>,
*Sano S*<http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Search&itool=pubmed_Abstract&term=%22Sano+S%22%5BAuthor%5D>
.

Department of Cardiovascular Surgery, Okayama University Medical School,
Japan.

We experienced a rare form of PAPVD without atrial septal defect. The
patient was a 33-year-old male and he was referred to our institute because
of mild right pulmonary congestion detected by a routine chest X-P. Enlarged
coronary sinus, right atrium and right ventricle were documented by UCG. The
Qp/Qs was 1.9 and pulmonary artery pressure was 38/7 mmHg (mean: 17 mmHg) by
cardiac catheterization. Selective pulmonary angiogram showed that all right
pulmonary veins drained into the coronary sinus without evidence of an
atrial septal defect. Enhanced chest CT clearly demonstrated the connection
between the right pulmonary vein and the coronary sinus. Intracardiac repair
without atrial baffle was carried out under hypothermic cardiopulmonary
bypass. Under cardiac arrest with cardioplegia, the common wall between the
right pulmonary vein and the left atrium was incised and the connection
between the right pulmonary vein and the left atrium was established. The
flap made by this incision was brought posterior to close the right
pulmonary vein opening to the coronary sinus. The postoperative course was
uneventful and the minimum diameter of the right pulmonary vein was found to
be 15.5 mm by a postoperative pulmonary artery angiogram. This operative
method without an atrial baffle could be an alternative procedure for
coronary sinus type PAPVD.

Publication Types:

   - Case Reports <javascript:AL_get(this, 'ptyp', 'Case Reports');>
   - English Abstract <javascript:AL_get(this, 'ptyp', 'English
   Abstract');>


PMID: 9884580 [PubMed - indexed for MEDLINE]

On 1/3/07, Donald Ross <donross at bigpond.com> wrote:
>
> I came across a congenital abnormality I had not previously
> encountered today.
> While upending the heart for a pda graft I noticed what looked like a
> pericardial adhesion a 4 cm left of the IVC. I hoed into it with the
> scissors but could not find a plane so started dissecting and found a
> 0.5cm vein connecting the coronary sinus to presumably the L lower lobe.
> I guess it was an aberrant pulmonary vein?
> Don
> _______________________________________________
> OpenHeart-L mailing list
>
> Send postings to:
> OpenHeart-L at lists.hsforum.com
>
> To UNSUBSCRIBE, to CHANGE email address, or to view archives:
> http://mmp.cjp.com/mailman/listinfo/openheart-l
>
> All messages transmitted by the OpenHeart-L are subject to the policies
> and
> disclaimers posted at:
> http://www.hsforum.com/listdisclaim
> -----------------------------------------
>



-- 
Prasanna Simha M