Effectiveness of posterior aortopexy for the left pulmonary vein obstruction between the left atrium and the descending aorta.

Tytuł:: Effectiveness of posterior aortopexy for the left pulmonary vein obstruction between the left atrium and the descending aorta.
Autorzy:: Choi KH; Department of Thoracic and Cardiovascular Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan-si, Republic of Korea.
Kim H; Department of Thoracic and Cardiovascular Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan-si, Republic of Korea.
Sung SC; Department of Thoracic and Cardiovascular Surgery, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan-si, Republic of Korea.
Lee HD; Department of Pediatrics, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan-si, Republic of Korea.
Ko H; Department of Pediatrics, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan-si, Republic of Korea.
Byun JH; Department of Pediatrics, Research Institute for Convergence of Biomedical Science and Technology, Pusan National University Yangsan Hospital, Yangsan-si, Republic of Korea.
Źródło:: Journal of cardiac surgery [J Card Surg] 2021 Aug; Vol. 36 (8), pp. 2644-2650. Date of Electronic Publication: 2021 May 03.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: Hoboken, NJ : Wiley-Blackwell
Original Publication: Mount Kisco, N.Y. : Futura Pub. Co., Inc., [c1986-
MeSH Terms:: Heart Septal Defects, Ventricular*
Pulmonary Veins*/diagnostic imaging
Pulmonary Veins*/surgery
Aorta, Thoracic ; Heart Atria/diagnostic imaging ; Heart Atria/surgery ; Humans ; Treatment Outcome
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Contributed Indexing:: Keywords: congenital heart disease; posterior aortopexy; pulmonary vein compression; pulmonary vein stenosis
Entry Date(s):: Date Created: 20210503 Date Completed: 20210713 Latest Revision: 20210713
Update Code:: 20240104
DOI:: 10.1111/jocs.15596
PMID:: 33938583
: Czasopismo naukowe

Pełny tekst

Background: Left pulmonary vein (PV) obstruction can occur due to compression between the left atrium (LA) and the descending aorta (DA). One of the effective solutions for this problem is posterior aortopexy. In this study, we have reported five cases of posterior aortopexy to relieve left PV obstruction between the LA and the DA.
Methods: Since August 2012, five patients have undergone posterior aortopexy for compression of the left PV between the LA and the DA. The median age and weight of the patients at the time of operation were 5.5 months (range, 1-131 months) and 5.2 kg (range, 4.2-29.5 kg), respectively. The left PV obstruction was initially diagnosed on echocardiography in four patients and computed tomography angiography in one patient. The median peak pressure gradient across the obstructed left PV was 7.3 mmHg (range, 4-20 mmHg). Concomitant procedures were ventricular septal defect closure in one patient and patent ductus arteriosus ligation in one patient.
Results: There was no PV obstruction on echocardiography in any of the patients after the operation except in the case of one patient who had diffuse pulmonary vein stenosis. The median follow-up duration was 34 months (range, 14-89 months), and during follow-up no incidence of the left PV obstruction was observed in any of the surviving patients.
Conclusions: The posterior aortopexy technique could be a good surgical option for the left PV obstruction caused by compression between the LA and the anteriorly positioned DA.
(© 2021 Wiley Periodicals LLC.)

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