Paulista Marcelo Dagola, Paulista Paulo Henrique Dagola, Guerra Ana Luiza Paulista, Paulista Paulo Paredes
Hospital da Real e BeneméritaAssociação Portuguesa de Beneficência and Dante Pazzanese Instituteof Cardiology, São Paulo, SP, Brazil.
Rev Bras Cir Cardiovasc. 2009 Apr-Jun;24(2):133-7. doi: 10.1590/s0102-76382009000200007.
Surgical treatment of anomalous pulmonary venous connection to the superior vena cava, associated with sinus venous atrial septal defect, is well established and correlates with low mortality and morbidity. In order to reduce the incidence of stenosis or occlusion of the right superior vena cava, especially when associated with the presence of left superior vena cava, the right atrial appendage was used to enlarge the right superior vena cava, after the diversion of the anomalous pulmonary veins for the left atrium.
Between June 1986 and September 2008, 95 consecutive patients were operated with anomalous drainage in the superior right vena cava and high right atrium. Ages ranged from 6 months to 68 years and females predominated with 50 cases.
There was no death in the immediate or late post operative care. The sinus cardiac rhythm was preserved in all cases and there was no complications in the late follow up.
This paper demonstrates the applicability of the technique described, with favorable results on mortality, rhythm disturbances and complications in the right superior vena cava.
与静脉窦型房间隔缺损相关的肺静脉异常连接至上腔静脉的手术治疗已很成熟，且死亡率和发病率较低。为降低右上腔静脉狭窄或闭塞的发生率，尤其是与左上腔静脉并存时，在将异常肺静脉转流至左心房后，采用右心耳扩大右上腔静脉。
1986年6月至2008年9月期间，连续95例患者接受了右上腔静脉和高位右心房异常引流的手术。年龄范围为6个月至68岁，女性居多，共50例。
围手术期及术后晚期均无死亡病例。所有病例均维持窦性心律，晚期随访无并发症发生。
本文证明了所述技术的适用性，在死亡率、心律失常及右上腔静脉并发症方面取得了良好效果。
