Abstract
The left isomerism heart is common to have various forms of the systemic and pulmonary venous connections, for which numerous reparative methods have been proposed. This report describes a successful extracardiac rerouting of the persistent left superior vena cava of a 6-year-old girl patient having the isomerism heart, bilateral superior vena cava, partial anomalous pulmonary venous connection, and partial form of the atrioventricular septal defect. Intraatrial rerouting of the left superior vena cava was found unfeasible, since this procedure had a potential hazard to obstruct the systemic and/or pulmonary venous drainage. The patient recovered uneventfully and is leading a normal life 6 years after the surgery.
Similar content being viewed by others
References
De Leval MR, Ritter DG, Mcgoon DC, Danielson GK. Anomalous systemic venous connection: Surgical considerations. Mayo Clin Proc 1975; 50: 599–610.
Zimand S, Benjamin P, Frand M, Mishaly D, Smolinsky AK, Hegesh J. Left superior vena cava to the left atrium: Do we have to change the traditional approach? Ann Thorac Surg 1999; 68: 1869–72.
Komai H, Naito Y, Fujiwara K. Operative technique for persistent left superior vena cava draining into the left atrium. Ann Thorac Surg 1996; 62: 1188–90.
Reddy VM, McElhinney DB, Hanley FL. Correction of left superior vena cava draining to the left atrium using extracardiac techniques. Ann Thorac Surg 1997; 63: 1800–2.
Palacios-Macedo AX, Frater CD Jr. Correction of anomalous systemic venous drainage in heterotaxy syndrome. Ann Thorac Surg 1997; 64: 235–8.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kawada, N., Yamagishi, M., Morita, K. et al. Extracardiac rerouting of the persistent left superior vena cava in the left isomerism heart. Jpn J Thorac Caridovasc Surg 52, 88–90 (2004). https://doi.org/10.1007/s11748-004-0092-1
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/s11748-004-0092-1