Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
2984268 | The Journal of Thoracic and Cardiovascular Surgery | 2007 | 13 Pages |
Abstract
In a subset of patients with obstructed total anomalous pulmonary venous connection, an unligated vertical vein reduces pulmonary arterial pressure, decreases perioperative pulmonary hypertensive crises, provides a temporary pop-off valve during pulmonary hypertensive crisis, and improves survival by providing superior hemodynamics. The high mortality in the ligated group suggests that patients with obstructed total anomalous pulmonary venous connection with postbypass moderate pulmonary hypertension possibly should not undergo vertical vein ligation. We propose routine use of an adjustable ligature around the vertical vein in all patients with more than moderate post-bypass pulmonary hypertension, allowing gradual tightening in increments without multiple reoperations.
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Authors
Ujjwal K. MCh, Diplomate NB, K. Ganapathy MCh, Kishore MCh, Saurabh MCh, Guresh MSc, PhD, Rajvir MSc, PhD, Panangipalli MCh,