Stent implantation in obstructive supracardiac anomalous drainage

Alba Deyanira Quiñónez, Juan Pablo Rozo, Ana María Constain, César Augusto Zuluaga, Edgar Giovanny Ríos

Research output: Contribution to journalArticlepeer-review

Abstract

Total anomalous pulmonary venous return is a group of congenital cardiac defects. They have a low incidence but a high potential for complication. The case is presented of a young infant of low birthweight, with total obstructive anomalous pulmonary venous return, scheduled for a stent implant in a vertical vein, and subsequent corrective surgey. This showed evidence of a minimal residual obstruction on reaching the right pulmonary vein, and a reduced left atrial size. She had a long stay in intensive care secondary to difficulty in weaning off mechanical ventilation due to the presence of venous-capillary edema. This case demonstrates that endovascualr intervention is an option in high risk infants with a total obstructive anomalous pulmonary venous return as part of the strategy of pre-operative cardiovascular stabilisation. Corrective surgery should be considered when the clinical conditions permit it, with the aim of minimising the morbidity associated with the compromise of the distensibility of the left cavities.

Translated title of the contributionImplantación de stent en drenaje venoso anómalo supracardiaco obstructivo
Original languageEnglish
Pages (from-to)51.e1-51.e5
JournalRevista Colombiana de Cardiologia
Volume26
Issue number1
DOIs
StatePublished - 01 Jan 2019
Externally publishedYes

Keywords

  • Cardiac surgery procedures
  • Pulmonary vein stenosis
  • Stents

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