medigraphic.com

2007, Number 4

<< Back Next >>

Arch Cardiol Mex 2007; 77 (4)

Morphopathologic study of total anomalous pulmonary venous connection

Muñoz CL, Sánchez VCA, Kuri NM

Language: Spanish
References: 39
Page: 265-274
PDF size: 736.38 Kb.


ABSTRACT

To know the morphological features and the frequency of pulmonary anomalous connection types, 106 hearts from the collection of the Instituto Nacional de Cardiología “Ignacio Chávez” were studied with the segmental sequential system. The atrial situs, connections of cardiac segments, morphology of cardiac chambers, interatrial septum, venous collector, sites of anomalous pulmonary venous connection and associated anomalies were determined. Darling’s classification was used. The atrial situs was: solitus (73), dextroisomerism (30) and inversus (3). In the supradiaphragmatic level the supracardiac connection (44) was distributed into superior vena cava (24) and vertical vein (20). The cardiac level (39) was divided into venous coronary sinus (22) and to the right atrium (17). The infradiaphragmatic level was to the portal vein (10) and the mixed group (13) had different combinations. 100 hearts had atrial septal defect and 6 had patent foramen ovale. The hearts with dextroisomerism had several intracardiac malformations; 14 specimens had obstructed venous collectors. Three important aspects in diagnosis are: site of anomalous connection, size of atrial septal defect and obstruction in the venous collector; this information is valuable to understand the physiopathology, to establish the diagnosis and to help the surgeon to chose the best surgical strategy.


REFERENCES

  1. Auer J: The development of the human pulmonary vein and its mayor variations. Anat Rec 1948; 101: 581-595.

  2. Neill CA: Development of the pulmonary vein with reference to the embryology of anomalies of pulmonary venous return. Pediatrics 1956; 18: 880-887.

  3. Muñoz Castellanos L, García Cornejo M, Zawilski J, Corona E, Espino Vela J: Desembocadura anómala de venas pulmonares. Arch Inst Cardiol Mex 1969; 38: 897-918.

  4. Edwards JE, Helmholz HF: A classification of total anomalous pulmonary venous connection based on developmental considerations. Mayo Clin Proc 1956; 31: 151-160.

  5. Edwards JE: Pathologic and developmental considerations in anomalous pulmonary venous connection. Mayo Clin Proc 1953; 28: 441-452.

  6. Garson A, Bricker T: The science and practice of pediatric cardiology. Vol.2 Philadelphia. Lea & Fabiger, 1990: 1145-1174.

  7. Perloff KJ: The clinical recognition of congenital heart disease. Philadelphia, WB Saunders. Co, 1994: 334-348.

  8. Freedom RM, Culham JAG, Moes CAF: Angiocardiography of congenital heart disease. New York, MacMillan Publishing Co, 1984: 274-288.

  9. Bankl H: Congenital malformations of the heart and great vessels. Baltimore-Munich. Urban Schwarzenberg, 1977: 176-184.

  10. Attie F: Cardiopatías congénitas. Morfología, cuadro clínico y diagnóstico. Barcelona-México. Salvat, 1985: 229-247.

  11. Castañeda AR, Jonas RA, Mayer JE, Hanley FL: Cardiac surgery of the neonato and infant. Philadelphia. WB Saunders Co, 1994: 157-166.

  12. Wilson AD: Total anomalous venous connection. Med J 2002; 3(7): 1-12.

  13. Fontana RS, Edwards JE: Congenital cardiac disease. Philadelphia WB Saunders Co, 1962: 133-137.

  14. Naranjo Ugalde AE, González Guillén A, Marcano Sans L, Houssein S: Drenaje anómalo total de venas pulmonares. Nuestra experiencia. Rev Cubana Pediatr 2002; 74: 208-212.

  15. Nabar A, Dalvi B: Obstructive total anomalous pulmonary venous drainage. Indian J Pediatr 1998; 65: 35-45.

  16. Gulati G, Sharma S: A rare form of supracardiac total anomalous pulmonary venous drainage. Evaluation by computed tomography and magnetic resonance imagin. Clin Radiol 2003; 58: 172-175.

  17. Wyttenbach M, Carrel T, Schupbach P, Tschappeler H, Triller J: Total anomalous pulmonary venous connection to the portal vein. Cardiovasc Intervent Radiol 1996; 19: 113-116.

  18. Raff GW, Geiss DM, Shah J, Bond LM, Carrol JA: Repair of transposition of the great arteries with total anomalous pulmonary venous return. Ann Thorac Surg 2002; 73: 655-657.

  19. Al-Fadley F, Galal O, Wilson N, Aloufis: Cor triatriatum associated with total anomalous pulmonary venous drainage in the setting of mitral atresia and restricttive interatrial communication. Pediatr Cardiol 1992; 13: 125-126.

  20. Becker AE, Anderson RH: Pathology of congenital heart disease. Londres. Butterworths 1981: 53-61.

  21. Becher MW, Rockenmacher S, Marin-Padilla M: Total anomalous pulmonary venous connection: Persistence and atresia of the common pulmonary vein. Pediatr Cardiol 1992; 13: 187-189.

  22. Dotter CT, Hardisty NM, Steinberg I: Anomalous right pulmonary vein entering the inferior vena cava: Two cases diagnosed during life by angiocardiography and cardiac catheterization. Am J Med Sci 1949; 218: 31-36.

  23. Jaramillo M, Medrano GA, Attie F, Buendía A, de Micheli A, Ovseyevitz J: Estudio electrocardiográfico de la conexión anómala total de venas pulmonares. Arq Bras Cardiol 1985; 4(3): 157-161.

  24. Toulemonte V, Sidi D, Kachaner J, Le Bidous J, Cohen L, Guarnera S, et al: Stenosis of the pulmonary veins in total anomalous pulmonary venous drainage associated with iatrogenic abnormality. Arch Mal Coeur 1990; 83: 633-639.

  25. Bu’Lock FA, Jordan SC, Martin RP: Successful balloon dilatation of ascending vein stenosis in obstructed supracardiac total anomalous pulmonary venous connection. Pediatr Cardiol 1994; 15: 78-80.

  26. Redington AN, Raine J, Shinebourne EA, Rigby ML: Tetralogy of Fallot with anomalous pulmonary venous connection: A rare but clinically important association. Br Heart J 1990; 64: 325-328.

  27. Cayre RO, Civetta JD, Roldan AO, Rousseau JJ, Knudson AO-Jr, Valdes Cruz IM: Mixed total anomalous pulmonary venous connection: Case report with bilateral venous collector. J Am Soc Echocardiogr 2003; 16: 84-87.

  28. Anil Kumar D, Kumar RM, Narasinga Rao P, Mahmound HM, Chandran S, Dhir AK, et al: Repair of total anomalous pulmonary venous connection in early infancy. Asian Cardiovasc Thorac Ann 2003; 11: 18-22.

  29. Tortoriello TA, Vick GW 3rd, Chung T, Bezoid LI, Vincent JA: Meandering right pulmonary vein to the left atrium and inferior vena cava: The first case with associated anomalies. Tex Heart Inst J 2002; 29: 319-323.

  30. Oliver JM, Gallego P, González A, Domínguez FJ, Aroca A, Mesa JM: Sinus venosus syndrome: atrial septal defect or anomalous venous connection? A multiplane transoesophageal approach. Heart 2002; 88: 634-638.

  31. Tynan MJ, Becker AE, Macartney FJ, Quero-Jiménez M, Shinebourne EA, Anderson RH: Nomenclature and classification of congenital heart disease. Br Heart J 1979; 41: 544-553.

  32. Díaz Góngora G, Attie F, Quero-Jiménez M, Muñoz Castellanos L, Anderson RH, Baño-Rodrigo A: Secuencia diagnóstica de las cardiopatías congénitas. Arch Inst Cardiol Mex 1982; 52: 69-78.

  33. Darling RC, Rothney WB, Craig JM: 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: 44-64.

  34. Delisle G, Ando M, Calder AL, Zuberbuhler JR, Rochenmacher S, Alday LE, et al: Total pulmonary venous connection. Report of 93 autopsied cases with emphasis on diagnostic and surgical considerations. Am Heart J 1976; 91: 99-122.

  35. Zylac CJ, Eyler WR, Spizarnny DL, Stone C: Developmental lung anomalies in the adult: radiologic-pathologic correlation. Radiographics 2002; 22: 526-543.

  36. Neill CA, Ferencz C, Sabiston DC, Sheldon H: The familial occurrence of hypoplastic right lung with systemic arterial supply and venous drainage “Scimitar syndrome”. Bull Johns Hopkins Hosp 1977; 107: 1-21.

  37. Espínola Zavaleta N, Muñoz Castellanos L, Játiva Chávez S, Zamora González C: Correlación anatomo-ecocardiográfica del síndrome de Cimitarra en el adulto y comentario embriológico. Arch Cardiol Mex 2005; 75: 165-175.

  38. Sano S, Brawn WJ, Mee RBB: Total anomalous pulmonary venous drainage. J Thorac Cardiovasc Surg 1989; 97: 886-892.

  39. Junega R, Saxena A, Kothari SS, Taneja K: Obstructed infracardiac total anomalous pulmonary venous connection in an adult. Pediatr Cardiol 1999; 20: 152-154.




2020     |     www.medigraphic.com