TY - JOUR
T1 - Superior vena cava obstruction after mustard repair of d-transposition of the great arteries
AU - Abbruzzese, Pietro A.
AU - Issenberg, Henry
AU - Cobanoglu, Adnan
AU - Garcia, Carlos
AU - Nunley, David
AU - Starr, Albert
PY - 1984
Y1 - 1984
N2 - Superior vena caval obstruction following Mustard repair of d-transposition of the great arteries is usally relieved by partial or complete revision of the intra-atrial repair. We employed a different approach in a patient with isolated total obstruction of the superior vena caval pathway, who suffered from fatigue, venous congestion in the upper part of the body and mild hydrocephalus. A 12 mm polytetrafluoroethylene tube was interposed between the left innominate vein and the left (functionally right) atrial appendage. Early and medium-term relief was demonstrated by repeat catheterization of the right heart and computed tomography brain scan three months postoperatively. The rationale for use of prosthetic material in the venous system is discussed and the need for long-term follow-up is stressed.
AB - Superior vena caval obstruction following Mustard repair of d-transposition of the great arteries is usally relieved by partial or complete revision of the intra-atrial repair. We employed a different approach in a patient with isolated total obstruction of the superior vena caval pathway, who suffered from fatigue, venous congestion in the upper part of the body and mild hydrocephalus. A 12 mm polytetrafluoroethylene tube was interposed between the left innominate vein and the left (functionally right) atrial appendage. Early and medium-term relief was demonstrated by repeat catheterization of the right heart and computed tomography brain scan three months postoperatively. The rationale for use of prosthetic material in the venous system is discussed and the need for long-term follow-up is stressed.
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U2 - 10.3109/14017438409099374
DO - 10.3109/14017438409099374
M3 - Article
C2 - 6372085
AN - SCOPUS:0021277435
SN - 1401-7431
VL - 18
SP - 5
EP - 7
JO - Scandinavian Cardiovascular Journal
JF - Scandinavian Cardiovascular Journal
IS - 1
ER -