Surgical Correction of Incomplete Anomalous Pulmonary Venous Drainage

Abstract

For the period from 2001-2021. 149 patients aged 1.4 - 45 years with various anatomical variants of IAPVD were operated on in the Department of CHD Surgery of the RSSPSC named after academician V. Vakhidov and the clinic of the ASMI. The diagnosis of the defect was based on the analysis of a combination of data from clinical and special research methods, including echocardiography, multispiral computed tomography with contrast, and catheterization of the heart cavities with angiocardiography. Operations were performed from the median sternotomy and thoracotomy with the right lateral access, under cardiopulmonary bypass with pharmaco-cold cardioplegia. The types of surgery for partial anomalous drainage of the pulmonary veins were analyzed. Depending on the level of entry of the pulmonary veins and the location of the ASD, patients were divided into 4 groups: supracardial, cardiac, infracardial and displaced. 7 operated patients had an additional left-sided SVC opening into the coronary sinus.