Partial Anomalous Pulmonary Venous Return in a Lung Transplant Recipient
Department of Surgery, Mayo Clinic Florida, Jacksonville, Florida.The Annals of thoracic surgery (Impact Factor: 3.85). 03/2013; 95(3):1104-6. DOI: 10.1016/j.athoracsur.2012.10.037
Partial anomalous pulmonary venous return (PAPVR) is a rare condition in which some of the pulmonary veins empty into the systemic venous system. The presence of PAPVR in a lung transplant recipient may cause technical challenges during transplantation. We present a technique for left atrial reconstruction when faced with a recipient with PAPVR. The patient had a left superior pulmonary vein that emptied into the brachiocephalic vein without a left atrial connection. Because of the discrepancy in size of the 2 donor and the single recipient pulmonary veins, left atrial reconstruction was performed before venous anastomosis.
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ABSTRACT: We report a case of partial anomalous pulmonary venous return from the left upper lobe in a donor lung discovered during lung transplantation. The upper lobe vein could be implanted successfully into the donor atrial cuff to restore physiologic venous drainage. The abnormality was retrospectively identified on the donor's chest computed tomographic scan. Cardiac magnetic resonance imaging performed in the recipient 6 months after transplantation demonstrated patent left pulmonary venous drainage. This is the third reported case of partial anomalous pulmonary venous return in a donor lung, but the first description of direct ex vivo suture into the donor cuff. Copyright © 2015 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.The Annals of thoracic surgery 06/2015; 99(6):2199-2202. DOI:10.1016/j.athoracsur.2014.07.085 · 3.85 Impact Factor
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