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Total Anomalous Pulmonary Venous Connection in a Teenage Patient

Received: 22 July 2019    Accepted: 23 August 2019    Published: 9 October 2019
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Abstract

Total anomalous pulmonary venous connection is usually seen and treated in childhood or in neonatal period in his obstructive type. Sometime it can be detected beyond the first decade. The objective of this case report is to give prove of the fact that it can be seen and treated in a teenager. We present a rare case of 15 years old boy who was admitted for supraventricular tachycardia with hypotension. Emergency electrocardiography showed atrial Flutter with a frequency of 225 beats/min. He complained from dyspnea state 2 at New York Heart Association functional classification before. The echocardiography showed a dilated coronary sinus in cardiac-type total anomalous pulmonary venous connection associated with a large atrial septal defect. Cardiac rhythm was normal after administration of Amiodarone. In cardiopulmonary bypass, an incision was made from the atrial septal defect to unroof the coronary sinus; a large pericardial patch was put to close the unroofing coronary sinus and let it in the left atrium. A De Vega tricuspid annuloplasty was done to reduce the tricuspid valve leak. The patient’s postoperative course was uneventful and was discharged in day 9 after operation. Total pulmonary venous return can evolve until teenage if the atrial septal defect is large. Evolution is good after a complete repair.

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 5, Issue 4)
DOI 10.11648/j.ijcts.20190504.12
Page(s) 69-71
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Atrial Septal Defect, Coronary Sinus, Total Anomalous Pulmonary Venous Connection, Unroofing Coronary Sinus, Pericardial Patch

References
[1] Kirshbom PM, Myung RJ, Gaynor JW. Preoperative pulmonary venous obstruction affects long-term outcome for survivors of total anomalous pulmonary venous connection repair. Ann Thorac Surg 2002; 74 (5): 1616–1620.
[2] Burroughs JT, Edwards JE. Total anomalous pulmonary venous connection. Am Heart J 1960; 59: 913–931.
[3] Myung KP. Total anomalous pulmonary venous return. In: Paediatric Cardiology for Practioners. 4th Edition, 2002, Mosby Inc., An imprint of Elsevier science, 11830 Westline Industrial drive, St. Louis, Missouri 63146, p-202-2.
[4] Xu-hua Jian, Jinsong Huang, Yiqun Ding, Xue-jun Xiao, Min Wu, Ji-mei Chen, and Jian Zhuang. Surgical Outcome of Isolated Total Anomalous Pulmonary Venous Connection in Adults: A 14-Year Experience. J Card Surg 2012; 27: 736-739.
[5] Sachin Talwar, Yatin Arora, Saurabh Kumar Gupta, Shyam Sunder Kothari, Sivasubramanian Ramakrishnan, Anita Saxena, and Shiv Kumar Choudhary. Total Anomalous Pulmonary Venous Connection beyond the First Decade of Life. World Journal for Pediatric and Congenital Heart Surgery 2019, 10 (2): 185-191.
[6] Rahman MM, Sheikh MSI, Islam MS, Nawshin S, Khanum S, Saklayen G, Uddin J Total Anomalous Pulmonary Venous Connection (TAPVC) - A Case Report. Ibrahim Card Med J 2011; 1 (1): 59-61.
[7] Brian Kogon, Jan Fernandez, Subhadra Shashidharan, Kirk Kanter, Bahaaldin Alsoufi. A 30-year experience with mixed-type total anomalous pulmonary venous connection: a word of caution Cardiology in the Young 2016: 1-7.
[8] Aysel Turkvatan, Hasan Tahsin Tola, Pelin Ayyildiz, Erkut Ozturk, Yakup Ergul, Alper Guzeltas. Total Anomalous Pulmonary Venous Connection in Children: Preoperative Evaluation with Low-Dose Multidetector Computed Tomographic Angiography. Tex Heart Inst J 2017; 44 (2): 120-126.
[9] Ping YW, Be TH, Jen HL et al. Significance of Pulmonary Venous Obstruction in TAPVR. J Chin Med Assoc 2004; 67: 331-335.
[10] Jae Gun Kwak, Cheul Lee, Eun Young Choi, Jin Young Song, and Chang-Ha Lee. Dilated Unroofed Coronary Sinus Mimicking CorTriatriatum in Cardiac-Type Total Anomalous Pulmonary Venous Connection. J Cardiac Surg 2012 Sep; 27 (5): 621-623.
[11] Matthew D Files, and Brian Morray. Total Anomalous Pulmonary Venous Connection: Preoperative Anatomy, Physiology, Imaging, and Interventional Management of Postoperative Pulmonary Venous Obstruction. Seminars in Cardiothoracic and Vascular Anesthesia 1-9.
[12] Masaaki Yamagishi, Keisuke Shuntoh, Akiyuki Takahashi, Takeshi Shinkawa, Takako Miyazaki, Nobuo Kitamura. Intra-atrial rerouting by transference of the posterior left atrial wall for cardiac-type total anomalous pulmonary venous return. J Thorac Cardiovasc Surg 2002; 123: 996-9.
[13] Sachin Talwar, Shiv Kumar Choudhary, Srikrishna Reddy, Anita Saxena, Shyam Sunder Kothari, Rajnish Juneja, Balram Airan. Total anomalous pulmonary venous drainage beyond childhood. Interactive CardioVascular and Thoracic Surgery 2008; 7: 1058–1061.
[14] Deborah Y Ho, Brian R White, Andrew C Glatz, Christopher E Mascio, Paul Stephens Jr, Meryl S Cohen. Postoperative Obstruction of the Pulmonary Veins in Mixed Total Anomalous Pulmonary Venous Connection. Pediatric Cardiology 2018; 39: 1489–1495.
[15] Fawwaz R. Shaw, M. D. 1 and Jonathan M. Chen, M. D. 2. Surgical Considerations in Total Anomalous Pulmonary Venous Connection. Seminars in Cardiothoracic and Vascular Anesthesia 1–6.
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  • APA Style

    Papa Salmane Ba, Momar Sokhna Diop, Papa Amath Diagne, Ndeye Fatou Sow, Papa Adama Dieng, et al. (2019). Total Anomalous Pulmonary Venous Connection in a Teenage Patient. International Journal of Cardiovascular and Thoracic Surgery, 5(4), 69-71. https://doi.org/10.11648/j.ijcts.20190504.12

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    ACS Style

    Papa Salmane Ba; Momar Sokhna Diop; Papa Amath Diagne; Ndeye Fatou Sow; Papa Adama Dieng, et al. Total Anomalous Pulmonary Venous Connection in a Teenage Patient. Int. J. Cardiovasc. Thorac. Surg. 2019, 5(4), 69-71. doi: 10.11648/j.ijcts.20190504.12

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    AMA Style

    Papa Salmane Ba, Momar Sokhna Diop, Papa Amath Diagne, Ndeye Fatou Sow, Papa Adama Dieng, et al. Total Anomalous Pulmonary Venous Connection in a Teenage Patient. Int J Cardiovasc Thorac Surg. 2019;5(4):69-71. doi: 10.11648/j.ijcts.20190504.12

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  • @article{10.11648/j.ijcts.20190504.12,
      author = {Papa Salmane Ba and Momar Sokhna Diop and Papa Amath Diagne and Ndeye Fatou Sow and Papa Adama Dieng and Amadou Gabriel Ciss and Mouhamadou N’Diaye},
      title = {Total Anomalous Pulmonary Venous Connection in a Teenage Patient},
      journal = {International Journal of Cardiovascular and Thoracic Surgery},
      volume = {5},
      number = {4},
      pages = {69-71},
      doi = {10.11648/j.ijcts.20190504.12},
      url = {https://doi.org/10.11648/j.ijcts.20190504.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20190504.12},
      abstract = {Total anomalous pulmonary venous connection is usually seen and treated in childhood or in neonatal period in his obstructive type. Sometime it can be detected beyond the first decade. The objective of this case report is to give prove of the fact that it can be seen and treated in a teenager. We present a rare case of 15 years old boy who was admitted for supraventricular tachycardia with hypotension. Emergency electrocardiography showed atrial Flutter with a frequency of 225 beats/min. He complained from dyspnea state 2 at New York Heart Association functional classification before. The echocardiography showed a dilated coronary sinus in cardiac-type total anomalous pulmonary venous connection associated with a large atrial septal defect. Cardiac rhythm was normal after administration of Amiodarone. In cardiopulmonary bypass, an incision was made from the atrial septal defect to unroof the coronary sinus; a large pericardial patch was put to close the unroofing coronary sinus and let it in the left atrium. A De Vega tricuspid annuloplasty was done to reduce the tricuspid valve leak. The patient’s postoperative course was uneventful and was discharged in day 9 after operation. Total pulmonary venous return can evolve until teenage if the atrial septal defect is large. Evolution is good after a complete repair.},
     year = {2019}
    }
    

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    T1  - Total Anomalous Pulmonary Venous Connection in a Teenage Patient
    AU  - Papa Salmane Ba
    AU  - Momar Sokhna Diop
    AU  - Papa Amath Diagne
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    JF  - International Journal of Cardiovascular and Thoracic Surgery
    JO  - International Journal of Cardiovascular and Thoracic Surgery
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    AB  - Total anomalous pulmonary venous connection is usually seen and treated in childhood or in neonatal period in his obstructive type. Sometime it can be detected beyond the first decade. The objective of this case report is to give prove of the fact that it can be seen and treated in a teenager. We present a rare case of 15 years old boy who was admitted for supraventricular tachycardia with hypotension. Emergency electrocardiography showed atrial Flutter with a frequency of 225 beats/min. He complained from dyspnea state 2 at New York Heart Association functional classification before. The echocardiography showed a dilated coronary sinus in cardiac-type total anomalous pulmonary venous connection associated with a large atrial septal defect. Cardiac rhythm was normal after administration of Amiodarone. In cardiopulmonary bypass, an incision was made from the atrial septal defect to unroof the coronary sinus; a large pericardial patch was put to close the unroofing coronary sinus and let it in the left atrium. A De Vega tricuspid annuloplasty was done to reduce the tricuspid valve leak. The patient’s postoperative course was uneventful and was discharged in day 9 after operation. Total pulmonary venous return can evolve until teenage if the atrial septal defect is large. Evolution is good after a complete repair.
    VL  - 5
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Author Information
  • Department of Thoracic and Cardiovascular Surgery, CHU Fann, Dakar, Senegal

  • Department of Thoracic and Cardiovascular Surgery, CHU Fann, Dakar, Senegal

  • Department of Thoracic and Cardiovascular Surgery, CHU Fann, Dakar, Senegal

  • Department of Thoracic and Cardiovascular Surgery, CHU Fann, Dakar, Senegal

  • Department of Thoracic and Cardiovascular Surgery, CHU Fann, Dakar, Senegal

  • Department of Thoracic and Cardiovascular Surgery, CHU Fann, Dakar, Senegal

  • Department of Thoracic and Cardiovascular Surgery, CHU Fann, Dakar, Senegal

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