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The Annals of Thoracic Surgery Nov 2021Pulmonary vein anomalies are often unrecognized during donor lung procurement. Consequently, they are at high risk for injury, and this leaves the implanting surgeon...
Pulmonary vein anomalies are often unrecognized during donor lung procurement. Consequently, they are at high risk for injury, and this leaves the implanting surgeon with an unpleasant surprise. An innovative approach can help resolve the situation. We wish to highlight our experience with an anomalous left upper pulmonary vein and describe a novel reconstruction technique.
Topics: Humans; Lung Transplantation; Male; Middle Aged; Pulmonary Veins; Tissue Donors; Vascular Surgical Procedures
PubMed: 33631150
DOI: 10.1016/j.athoracsur.2021.02.015 -
Europace : European Pacing,... Jul 2021
Topics: Atrial Fibrillation; Body Surface Potential Mapping; Catheter Ablation; Humans; Pulmonary Veins; Treatment Outcome
PubMed: 33538297
DOI: 10.1093/europace/euaa422 -
Echocardiography (Mount Kisco, N.Y.) Mar 2022Atrial septal defects are one of the most common forms of congenital heart disease, however sinus venosus communications, particularly pulmonary vein-type defects, are...
Atrial septal defects are one of the most common forms of congenital heart disease, however sinus venosus communications, particularly pulmonary vein-type defects, are rare and are easily misdiagnosed. Patients with pulmonary vein-type sinus venosus defects often present earlier than those with ostium secundum defects with significant right heart dilation. Correct diagnosis has important implications for management. We discuss the clinical courses and review multimodality imaging of three patients correctly diagnosed with pulmonary vein-type defects after an initial diagnosis of an ostium secundum atrial septal defect, in order to promote understanding of the unique anatomy of this entity.
Topics: Heart; Heart Defects, Congenital; Heart Septal Defects, Atrial; Humans; Missed Diagnosis; Pulmonary Veins
PubMed: 35170076
DOI: 10.1111/echo.15310 -
Journal of Cardiovascular... Jul 2020
Topics: Atrial Fibrillation; Catheter Ablation; Electrophysiology; Heart Rate; Humans; Pulmonary Veins
PubMed: 32406132
DOI: 10.1111/jce.14548 -
Journal of Cardiovascular... May 2020
Topics: Atrial Fibrillation; Catheter Ablation; Electrophysiologic Techniques, Cardiac; Humans; Pulmonary Veins
PubMed: 32115789
DOI: 10.1111/jce.14427 -
Journal of Cardiovascular... Apr 2019
Topics: Action Potentials; Atrial Fibrillation; Catheter Ablation; Computed Tomography Angiography; Heart Rate; Humans; Phlebography; Pulmonary Veins
PubMed: 30614097
DOI: 10.1111/jce.13841 -
The American Journal of Cardiology Aug 1984Congenital pulmonary vein stenosis is a rare and serious form of congenital heart disease. Between 1969 and 1982 10 patients with this lesion were studied. In 2 patients...
Congenital pulmonary vein stenosis is a rare and serious form of congenital heart disease. Between 1969 and 1982 10 patients with this lesion were studied. In 2 patients the condition was diagnosed at autopsy; these patients died before the presence of congenital heart disease was suspected. Of the 8 in whom the condition was diagnosed during life, it was suspected clinically in 6 and found unexpectedly at cardiac catheterization in 2. All underwent operation, and 5 were hospital survivors. In all survivors rapid and progressive restenosis of the pulmonary veins occurred over the next several months. Three of the 5 underwent reoperation, but progressive restenosis recurred and all eventually died of this condition. Thus, despite partial surgical relief of pulmonary vein stenosis, the lesion is apparently one of relentless progression. No surgical repair has been successful in the cure or long-term palliation of this lethal lesion.
Topics: Blood Pressure; Child, Preschool; Constriction, Pathologic; Female; Humans; Infant; Infant, Newborn; Male; Pulmonary Artery; Pulmonary Circulation; Pulmonary Edema; Pulmonary Veins; Pulmonary Wedge Pressure; Radiography; Recurrence; Reoperation
PubMed: 6465018
DOI: 10.1016/0002-9149(84)90199-1 -
Europace : European Pacing,... Jul 2014
Topics: Brachiocephalic Veins; Humans; Phlebography; Pulmonary Veins; Tomography, X-Ray Computed
PubMed: 24913277
DOI: 10.1093/europace/euu148 -
Pacing and Clinical Electrophysiology :... Jul 2003
Review
Topics: Atrial Fibrillation; Cardiac Catheterization; Catheter Ablation; Catheterization; Echocardiography; Electrophysiologic Techniques, Cardiac; Fluoroscopy; Humans; Pulmonary Veins; Radiography, Interventional; Signal Processing, Computer-Assisted
PubMed: 12914615
DOI: 10.1046/j.1460-9592.2003.t01-1-00244.x -
Interactive Cardiovascular and Thoracic... Jan 2020In a living-donor lobectomy, the donor undergoes a right or left lower lobectomy. The surgical procedures for living-donor lobectomy are sometimes influenced by the...
OBJECTIVES
In a living-donor lobectomy, the donor undergoes a right or left lower lobectomy. The surgical procedures for living-donor lobectomy are sometimes influenced by the anatomical variations of the pulmonary vein (PV). The goal of this study was to analyse the PV variations in living donors and to review the influence of these variations on the surgical procedures used.
METHODS
Between June 2008 and September 2018, 154 living donors underwent right or left lower lobectomy. The PV variations were analysed using 3-dimensional computed tomography (3D-CT), and the surgical management of these variations was reviewed.
RESULTS
Among 154 donors, 21 PV variations that could influence the surgical procedure for a right lower lobectomy were found in 19 (12.3%) donors, whereas no such variations for a left lower lobectomy were found. Detected PV variations were dorsal branch of the right upper PV (n = 12), middle PV draining into the right lower PV (n = 6) and the superior segment branch of the right lower PV draining into the right upper PV (n = 3). Among 96 donors undergoing right lower lobectomy, 9 (9.4%) donors had PV variations that could influence the surgical procedure. In 2 donors, sparing of PV branches with multiple vascular clamps was required. Pulmonary venoplasty was not required in any donor, whereas pulmonary venoplasty in recipient surgery was required in 4 recipients. There were no complications related to the surgical procedures performed on the PV.
CONCLUSIONS
Living-donor lobectomy was performed safely owing to the preoperative evaluation of PV on 3D-CT and the use of appropriate surgical approaches to PV.
Topics: Adult; Female; Humans; Living Donors; Lung Transplantation; Male; Middle Aged; Pneumonectomy; Pulmonary Veins; Tissue and Organ Harvesting; Tomography, X-Ray Computed; Young Adult
PubMed: 31605611
DOI: 10.1093/icvts/ivz238