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Catheter closure of a patent vertical vein after repair of an unusual total anomalous variant of pulmonary venous drainage


1 Cardiovascular Department, Division of Cardiology, ASST Papa Giovanni XXIII, Bergamo, Italy
2 Department of Pediatric Cardiology, Rainbow Children Heart Hospitals, Hyderabad, Telangana, India

Correspondence Address:
Dr. Paolo Ferrero
ASST Papa Giovanni XXIII, Piazza OMS, 1, 24127 Bergamo
Italy
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_139_19

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Year : 2021  |  Volume : 14  |  Issue : 1  |  Page : 82-84

 

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Total anomalous pulmonary venous drainage (TAPVD) encompasses a wide spectrum of anatomical variants. The infradiaphragmatic type is almost always obstructive owing to the interposition of intrahepatic resistances; since almost invariable, the vertical vein inserts on the portal venous system. On correction of this variant, the vertical vein might not be ligated to avoid postoperative pulmonary hypertension. We hereby describe an unusual case of infradiaphragmatic TAPVD, with a vertical vein connected to ductus venosus. Since vertical vein was not ligated, it realized an unrestrictive pathway between the left atrium and the suprahepatic veins which resulted in persistent chylous peritoneal drainage. The patient successfully underwent catheter occlusion of the vertical vein which led to complete resolution of the clinical picture.






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1 Cardiovascular Department, Division of Cardiology, ASST Papa Giovanni XXIII, Bergamo, Italy
2 Department of Pediatric Cardiology, Rainbow Children Heart Hospitals, Hyderabad, Telangana, India

Correspondence Address:
Dr. Paolo Ferrero
ASST Papa Giovanni XXIII, Piazza OMS, 1, 24127 Bergamo
Italy
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_139_19

Rights and Permissions

Total anomalous pulmonary venous drainage (TAPVD) encompasses a wide spectrum of anatomical variants. The infradiaphragmatic type is almost always obstructive owing to the interposition of intrahepatic resistances; since almost invariable, the vertical vein inserts on the portal venous system. On correction of this variant, the vertical vein might not be ligated to avoid postoperative pulmonary hypertension. We hereby describe an unusual case of infradiaphragmatic TAPVD, with a vertical vein connected to ductus venosus. Since vertical vein was not ligated, it realized an unrestrictive pathway between the left atrium and the suprahepatic veins which resulted in persistent chylous peritoneal drainage. The patient successfully underwent catheter occlusion of the vertical vein which led to complete resolution of the clinical picture.






[FULL TEXT] [PDF]*


        
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