L→R shunt: A serious consequence of TAPVC repair without ligation of vertical vien

Maully J. Shah; Shaunak Shah; Shreyans Shankargowda; Usha Krishnan; Kottoorathu M. Cherian; Jeffrey T. Cope; Irving L. Kron

doi:10.1016/S0003-4975(00)01406-5

L→R shunt: A serious consequence of TAPVC repair without ligation of vertical vien

Maully J. Shah, Shaunak Shah, Shreyans Shankargowda, Usha Krishnan, Kottoorathu M. Cherian, Jeffrey T. Cope, Irving L. Kron

Medicine Administration

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27 Scopus citations

Abstract

It has been suggested that concomitant ligation of the vertical vein (VV) is not necessary in the repair of total anomalous pulmonary venous connection. The patency of the VV is desirable in the presence of noncompliant left heart chambers that may not be able to accommodate acute increases in pulmonary blood flow, leading to hemodynamic instability after repair. Complete cessation of flow through the previously patent VV has been observed, obviating the need for a second-stage operation. We report 2 infants who were operated using this strategy, in which the VV continued to function as a conduit for a significant left to right shunt. (C) 2000 by The Society of Thoracic Surgeons.

Original language	English (US)
Pages (from-to)	971-973
Number of pages	3
Journal	Annals of Thoracic Surgery
Volume	70
Issue number	3
DOIs	https://doi.org/10.1016/S0003-4975(00)01406-5
State	Published - 2000

ASJC Scopus subject areas

Surgery
Pulmonary and Respiratory Medicine
Cardiology and Cardiovascular Medicine

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title = "L→R shunt: A serious consequence of TAPVC repair without ligation of vertical vien",

abstract = "It has been suggested that concomitant ligation of the vertical vein (VV) is not necessary in the repair of total anomalous pulmonary venous connection. The patency of the VV is desirable in the presence of noncompliant left heart chambers that may not be able to accommodate acute increases in pulmonary blood flow, leading to hemodynamic instability after repair. Complete cessation of flow through the previously patent VV has been observed, obviating the need for a second-stage operation. We report 2 infants who were operated using this strategy, in which the VV continued to function as a conduit for a significant left to right shunt. (C) 2000 by The Society of Thoracic Surgeons.",

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AU - Shah, Maully J.

AU - Shah, Shaunak

AU - Shankargowda, Shreyans

AU - Krishnan, Usha

AU - Cherian, Kottoorathu M.

AU - Cope, Jeffrey T.

AU - Kron, Irving L.

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AB - It has been suggested that concomitant ligation of the vertical vein (VV) is not necessary in the repair of total anomalous pulmonary venous connection. The patency of the VV is desirable in the presence of noncompliant left heart chambers that may not be able to accommodate acute increases in pulmonary blood flow, leading to hemodynamic instability after repair. Complete cessation of flow through the previously patent VV has been observed, obviating the need for a second-stage operation. We report 2 infants who were operated using this strategy, in which the VV continued to function as a conduit for a significant left to right shunt. (C) 2000 by The Society of Thoracic Surgeons.

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L→R shunt: A serious consequence of TAPVC repair without ligation of vertical vien

Abstract

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