Vol 47: Surgery for Partial Anomalous Pulmonary Venous Connections: Modification of the Warden Procedure with a Right Atrial Appendage Flap.Reportar como inadecuado



 Vol 47: Surgery for Partial Anomalous Pulmonary Venous Connections: Modification of the Warden Procedure with a Right Atrial Appendage Flap.


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This article is from The Korean Journal of Thoracic and Cardiovascular Surgery, volume 47.AbstractBackground: Surgical repair of a partial anomalous pulmonary venous connection PAPVC to the superior vena cava SVC may be complicated by sinus node dysfunction or SVC obstruction. We modified the Warden procedure by using a right atrial auricular flap to decrease the occurrence of these complications. Methods: Between February 2005 and July 2012, 10 consecutive patients underwent a modified Warden procedure to correct PAPVC. The median patient age was 5.7 years. Eight patients 80% had an atrial septal defect. To surgically correct the PAPVC, we made a U-shaped incision on the right atrial appendage and sutured the flap to the posterior wall of the SVC. The anterior wall was reconstructed with various patch materials. Results: No early or late deaths occurred, nor did any patient require early or late reoperation for SVC or pulmonary venous obstruction. No new arrhythmias appeared during follow-up, which was complete in all patients mean, 29.5 months. Conclusion: Our modification of the Warden procedure seems to be effective and safe. This technique may lower the risk of SVC obstruction, pulmonary venous obstruction, and sinus dysfunction.



Autor: Kim, Chilsung; Cho, Yang Hyun; Lee, Mina; Yang, Ji-Hyuk; Jun, Tae-Gook; Song, Jin Young; Huh, June; Kang, I-seok

Fuente: https://archive.org/







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