Williams W H, Zorn-Chelton S, Raviele A A, Michalik R E, Guyton R A, Dooley K J, Hatcher C R
Ann Thorac Surg. 1984 Oct;38(4):345-55. doi: 10.1016/s0003-4975(10)62284-9.
Between June, 1982, and July, 1983, 6 children with partial anomalous pulmonary venous connection to the middle or high segment of the superior vena cava (SVC) underwent repair of the anomaly by division of the SVC proximal to the site of entry of the anomalous pulmonary veins. Continuity between the cephalad end of the SVC and the right atrium was established by direct anastomosis to the right atrial (RA) appendage or by creation of a pedicle conduit of RA appendage, RA free wall, and pericardium. The anomalous pulmonary veins remained in situ on the lower segment of SVC, blood being directed to the left atrium through an atrial septal defect by a pericardial patch placed within the right atrium well away from the sinoatrial node, anomalous pulmonary veins, and cavoatrial junction. All children have survived, remain in normal sinus rhythm, and have no evidence of vena caval or pulmonary venous obstruction. Follow-up cardiac catheterizations, angiocardiograms, and Holter recordings support the efficacy of this technique as an alternative in the management of anomalous pulmonary veins joining the SVC well above the cavoatrial junction.
在1982年6月至1983年7月期间，6例部分性肺静脉异常连接至上腔静脉（SVC）中段或上段的患儿，通过在异常肺静脉入口近端切断SVC进行了该异常的修复。通过直接吻合至右心房（RA）心耳或制作一个由RA心耳、RA游离壁和心包构成的带蒂管道，建立了SVC头端与右心房之间的连续性。异常肺静脉保留在SVC下段原位，血液通过置于右心房内远离窦房结、异常肺静脉和腔房交界处的心包补片经房间隔缺损引流至左心房。所有患儿均存活，维持正常窦性心律，且无腔静脉或肺静脉梗阻的证据。随访心脏导管检查、心血管造影和动态心电图记录均支持该技术作为处理肺静脉异常连接于腔房交界处上方较高位置的SVC的一种替代方法的有效性。
