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. 2021 Oct 15:37:100889.
doi: 10.1016/j.ijcha.2021.100889. eCollection 2021 Dec.

Transcatheter occlusion of the vertical vein in a partial anomalous pulmonary venous connection with dual Drainage, case series with literature review

Mustafa A Al-Muhaya  1 , Alassal A Alkodami  1 , Saad Khoshhal  1   2 , Abdul Hameed A Najjar  1 , Mansour Al-Mutairi  1 , Ayman R Abdelrehim  1   3
Affiliations

Transcatheter occlusion of the vertical vein in a partial anomalous pulmonary venous connection with dual Drainage, case series with literature review

Mustafa A Al-Muhaya et al. Int J Cardiol Heart Vasc. .

Abstract

Partial anomalous pulmonary venous return (PAPVR) is an uncommon type of congenital heart disease occurring due to abnormal drainage of one or more, but not all the pulmonary veins to the systemic veins or directly to the right atrium. The PAPVR might have single (to the systemic veins) or dual drainage (to the systemic as well as left atrium). Management depends on the shunt impact on the heart and lungs, and it is usually surgical correction. In case of PAPVR with dual drainage, there is a new trend of percutaneous occlusion of the vertical vein with dual drainage anatomy, so that the blood is obliged to flow to the left atrium as in normal hearts. The scope of this manuscript is to highlight the availability of this alternative option and to present our experience and outcome in 6 PAPVR patients with dual drainage treated using this percutaneous approach.

Keywords: Device closure; Dual drainage; Partial anomalous pulmonary venous connection.

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Conflict of interest statement

The authors report no relationships that could be construed as a conflict of interest.

Figures

Fig. 1
Fig. 1
Suprasternal echocardiographic view showed anomalous pulmonary vein with ascending vertical vein (VV), left innominate vein (Lt. I. V) and Bridging vein (BV).
Fig. 2
Fig. 2
Suprasternal colour echocardiographic view showed left anomalous pulmonary vein with ascending vertical vein (VV), Bridging vein (BV) and right superior vena cava (Rt. SVC).
Fig. 3
Fig. 3
Suprasternal echocardiographic view showed non-obstructive anomalous pulmonary venous flow to ascending vertical vein, gradient mean of 1 mmHg.
Fig. 4
Fig. 4
Anteroposterior fluoroscopic image showed the terumo wire advanced into multipurpose type-2 catheter through inferior vena cava to right superior vein cava, to bridging vein to ascending vertical vein to the left upper pulmonary vein to the left atrium indicating dual connection, pigtail catheter advanced into left pulmonary artery.
Fig. 5
Fig. 5
Anteroposterior angiographic image visualized contrast injected by multipurpose-2 with side hole (MPA2) venous catheter to the right upper pulmonary vein to the left atrium (LA) confirming dual connection. (Rt. SVC = right superior vena cava, BV = bridging vein, VV = vertical vein).
Fig. 6
Fig. 6
Anteroposterior angiograms view showed balloon wedge tipped catheter in the innominate vein and (Multipurpose catheter (MPA2) in the left pulmonary artery, all pulmonary veins (PV) draining into left atrium (LA).
Fig. 7
Fig. 7
Left pulmonary artery angiograms in anteroposterior projection showed Amplatzer patent ductus arteriosus (PDA) occluder device deployed inside the ascending vertical vein, with no leak, unobstructed flow to the left atrium (LA).
Fig. 8
Fig. 8
Anteroposterior angiographic view showed Amplatzer vascular plug type-II in ascending vertical vein, left innominate vein (Lt. I. V) angiograms showed no leak to vertical vein, with patent left innominate vein.
See this image and copyright information in PMC

References

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