Postsurgical cavo-pulmonary anastomosis and its implication in endovascular procedures.
DOI:
https://doi.org/10.31051/1852.8023.v14.n1.36767Keywords:
superior vena cava; right pulmonary artery; central venous catheter; anatomy.Abstract
ABSTRACT: Both through dissections in cadaveric material and through imaging methods, multiple anatomical variants have been described in the vascular system, the superior cava system being no exception. These congenital or acquired modifications may difficult the performance of endovascular procedures, such as the placement of central venous lines. For safe performance of such procedures, knowledge of these variants is essential. This study reports the case of an individual with Ebstein's disease surgically corrected by a tricuspid valve replacement and bidirectional cavopulmonary anastomosis (Glenn procedure), who was admitted for placement of a long-term central venous device. Pre, intra and postoperative imaging studies allow mapping the patient's anatomy, planning and performing the surgical act as well as control of the devices placed during evolution.Downloads
References
REFERENCIAS BIBLIOGRÁFICAS:
Dearani JA, Danielson GK. 2000. Congenital Heart Surgery Nomenclature and Database Project: Ebstein’s Anomaly and Tricuspid Valve Disease. Ann Thorac Surg 69:106–117.
Freiré E, De la Iglesia A, Rodríguez C, López MA, González M, Peleteiro R, Camba MA. 2008. Reservorios venosos centrales totalmente implantables, tipo Port-A-Cath, en pacientes oncológicos: Revisión de Complicaciones. Rev Soc Esp Dolor 15: 451-462.
Fontan F, Baudet E. 1971. Surgical repair of tricuspid atresia. Thorax 26:240-248.
Geerdink LM, Kapust L. 2014. Dealing with Ebstein’s anomaly. Cardiol Young 24:191-200.
Salik I, Mehta B, Ambati S. 2021. Bidirectional Glenn Procedure or Hemi-Fontan. StatPearls Publishing. Treasure Island (FL). 23 p.
Sonavane SK, Milner DM, Singh SP, Abdel Aal AK, Shahir KS, Chaturvedi A. 2015. Comprehensive imaging review of the superior vena cava. Radiographics 35:1873–1892.
Tarr G, Mirjalili S. 2016. Normal Anatomic Variations of the Superior Vena Cava. Radiographics 36:939-940.
Testut JL, Latarjet A. 1984. Tratado de Anatomía Humana. Tomo 2. 9 ª Edición. Barcelona: Salvat editores, pag: 411.
Valdano M, Morais H, Magalhãesa MP, Sampaio Nunesa MA, Leona G, Ferreira M, Júnior APF. 2015. Ebstein’s anomaly in children: A single-center study in Angola. Rev Port Cardiol 34:607-612.
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Copyright (c) 2022 M. Florencia Ignatov Galan, Alejandro M. Russo Couste
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