Retroesophageal Infracardiac Total Anomalous Pulmonary Venous Drainage

Abstract

This case report describes the management of a term baby, born cyanotic, who was preoperatively diagnosed to have an obstructed total anomalous pulmonary venous drainage (TAPVD) in association with a functionally univentricular heart. An urgent repair of the anomalous pulmonary venous drainage was done, and a modified Blalock-Taussig shunt was constructed. Intraoperative difficulties were encountered when the pulmonary venous confluence was not seen in the usual location in the posterior mediastinal space, anterior to the esophagus. This report describes the rare finding of infracardiac TAPVD that is located in the retroesophageal space.

Keywords

cardiac anatomy congenital heart disease congenital heart surgery neonate pathology—pulmonary veins total anomalous pulmonary venous drainage

Get full access to this article

View all access options for this article.

References

Kanter

. Surgical repair of total anomalous pulmonary venous connection. Semin Thorac Cardiovasc Surg Pediatr Card Surg Annu. 2006;1:40–44.

Hirsch

Bove

. Total anomalous pulmonary venous connection. Multimed Man Cardiothorac Surg. 2007;507:1–7.

Craig

Darling

Rothney

. Total pulmonary venous drainage into the right side of the heart: report of 17 autopsied cases not associated with other major cardiovascular anomalies. Lab Invest. 1957;6(1):44–64.

Lodge

Rychik

Nicholson

Ittenbach

Spray

Gaynor

. Improving outcomes in functional single ventricle and total anomalous pulmonary venous connection. Ann Thorac Surg. 2004;78(5):1688–1695.

Hoashi

Kagisaki

Oda

. Long-term results of treatments for functional single ventricle associated with extracardiac type total anomalous pulmonary venous connection. Eur J Cardiothorac Surg. 2013;43(5):965–970.

Delisle

Ando

Calder

. Total anomalous pulmonary venous connection: Report of 93 autopsied cases with emphasis on diagnostic and surgical considerations. Am Heart J. 1976;91(1):99–122.

Caldarone

Vricella

. Retroesophageal total anomalous pulmonary venous connection in a neonate. J Thorac Cardiovasc Surg. 2014;148(2):e143–e144.

Chang

Wang

. The safe use of intraoperative transesophageal echocardiography in the management of total anomalous pulmonary venous connection in newborns and infants: a case series. Pediatr Anaesth. 2005;15(11):939–943.