Warden H E, Gustafson R A, Tarnay T J, Neal W A
Ann Thorac Surg. 1984 Dec;38(6):601-5. doi: 10.1016/s0003-4975(10)62317-x.
The surgical management of 15 patients with partial anomalous pulmonary venous connection (PAPVC) to the high superior vena cava (SVC) is described. This new technique redirects the anomalous pulmonary venous flow into the left atrium through the cardiac end of the SVC, transected and oversewn above the anomalous pulmonary vein or veins, by coaptation of the atrial septal defect (or of the surgically created septal defect in patients with an intact atrial septum) to the intracardiac orifice of the SVC. Normal SVC-right atrial flow is reconstituted by atriocavoplasty to the cephalad portion of the transected SVC. A 31-year-old woman with severe pulmonary hypertension died early in the series; this was the only death. Surviving patients enjoy full activity. Except for one symptomatic SVC obstruction due to technical error (since relieved), this technique has achieved total correction of these congenital defects with marked reduction in the undesirable postoperative sequelae often associated with other methods of repair.
本文描述了15例部分性肺静脉异位连接（PAPVC）至高位上腔静脉（SVC）患者的手术治疗方法。这项新技术通过将上腔静脉在异常肺静脉上方横断并缝合，经上腔静脉的心端将异常肺静脉血流重定向至左心房，方法是将房间隔缺损（或房间隔完整患者手术造成的间隔缺损）与上腔静脉的心内开口对合。通过对上腔静脉横断的头端部分进行心房腔成形术来重建正常的上腔静脉-右心房血流。该系列中一名31岁患有严重肺动脉高压的女性早期死亡，这是唯一的死亡病例。存活患者可进行完全活动。除了因技术失误导致的1例有症状的上腔静脉梗阻（现已缓解）外，该技术已实现对这些先天性缺陷的完全矫正，显著减少了通常与其他修复方法相关的不良术后后遗症。
