Reconstruction of nonconfl uent pulmonary artery using the retroaortic innominate vein for a single ventricle
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Masato Nakayama, MD · Toshiaki Itou, MD Tomonobu Abe, MD · Tomo Yoshizumi, MD
- چاپ و سال / کشور: 2010
Description
The innominate vein usually courses anterior to the aortic arch, where it joins the right brachiocephalic vein to form the superior caval vein. A retroaortic innominate vein is an uncommon fi nding in patients with congenital heart disease. We report a patient with a single ventricle, single atrium, pulmonary atresia, nonconfl uent pulmonary artery, persistent left superior caval vein, absent inferior caval vein (azygos connection), right aortic arch, and retroaortic innominate vein. His innominate vein took an anomalous course. The right brachiocephalic vein crossed from right to left underneath the aortic arch and formed a left superior caval vein with the left brachiocephalic vein and the azygos vein. We reconstructed the nonconfl uent pulmonary artery using the retroaortic innominate vein and then performed a total cavopulmonary shunt when he was 32 months of age. Thereafter, a total cavopulmonary connection was carried out at age 42 months.
Gen Thorac Cardiovasc Surg (2011) 59:359–362 DOI 10.1007/s11748-010-0691-y Received: 15 December 2009 / Accepted: 18 August 2010
