Thorac Cardiovasc Surg 2000; 48(6): 371-373
DOI: 10.1055/s-2000-8338
Case Reports
Case Report
© Georg Thieme Verlag Stuttgart · New York

Pulmonary Venous Obstruction in Patients with Transposition of the Great Arteries

S.-J. Wu1 , I.-S. Chiu1 , S.-K. Tsai1 , M.-L. Lee2
  • 1Departments of Surgery and Anesthesiology, National Taiwan University Hospital, Taipei, Taiwan
  • 2Department of Pediatrics, Changhua Christian Hospital, Changhua, Taiwan
Further Information

Publication History

Publication Date:
31 December 2000 (online)

We report two cases of complete transposition of the great arteries with pulmonary venous obstruction which was diagnosed by intraoperative transesophageal echocardiography, but was not detected by transthoracic echocardiography and cardiac catheterization. The pulmonary venous obstruction was relieved simultaneously with arterial switch operation. The intraoperative transesophageal echocardiography has great contribution for thorough evaluation of the pulmonary venous return of the patients.

References

  • 1 Beerman L B, Oh K S, Park S C. et al . Unilateral pulmonary vein atresia: clinical and radiographic spectrum.  Pediatr Cardiol.. 1983;  4 105-12
  • 2 Muster A J, Paul M H, van Grondelle A, Conway J J. Asymmetric distribution of the pulmonary blood flow between the right and left lungs in d-transposition of the great arteries.  Am J Cardiol.. 1976;  38 352-61
  • 3 Lin S F, Chiu I S, Hsu R B. Creation of a one-way interatrial communication in the treatment of critical pulmonary stenosis with intact ventricular septum: A case report.  J Card Surg.. 1996;  11 368-70
  • 4 Davies H, Dow J. Differential pulmonary vascularity and the orientation of the right ventricular outflow tract with special reference to corrected transposition.  Br J Radiol.. 1971;  44 258-64
  • 5 Emmel M, Bauer I, Plug M. et al . Left-side pulmonary vein obstruction after arterial switch operation in infants with d-transposition of the great arteries.  Pediatr Cardiol.. 1997;  18 306-8
  • 6 Van Praagh R, Corsini I. Cor triatriatum: Pathologic anatomy and a consideration of morphogenesis based on 13 postmortem cases and a study of normal development of the pulmonary vein and atrial septum in 83 human embryos.  Am Heart J.. 1969;  78 379-405
  • 7 Leu M R, Chiu I S, Hung C R, Wu M H. Surgical implications of juxtaposed atrial appendages and the associated anomalies.  Ann Thorac Surg.. 1992;  54 134-6

Received for Publication: January 3, 2000

Dr. I.-S. Chiu

Department of Surgery

National Taiwan University Hospital

No.7 Chung-Shan S. Road

Taipei

Taiwan 100

Phone: 886 2 2397-0800 Ext.5091

Fax: 886 2 2322-2431

Email: ingsh@ha.mc.ntu.edu.tw

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