Summary
One of the major postoperative complications of total anomalous pulmonary venous connection is obstruction of the pulmonary veins. This event may be apparent immediately after surgery when it is usually due to congenitally obstructed veins or later when it may be the result of failure of commensurate growth of the left atrium-common vein anastomosis or of scarring at the anastomotic site. The exact location of the obstruction becomes, then, of paramount importance in deciding if the patient can be helped by further surgery.
At cardiac catheterization, pulmonary artery wedge injection was the only angiographic technique that visualized the site and degree of pulmonary venous obstruction in the case reported here.
Similar content being viewed by others
References
Alpert BS, Culham JAG: A severe complication of pulmonary vein angiography.Brit Heart J 41:727–729, 1979
Bell AL, Shimomura S, Guthrie WJ, Fitzpatrick HF, Begg CF: Wedge pulmonary arteriography—its application in congenital and acquired heart disease.Radiology 73:566, 1959
Bharati S, Lev M: Congenital anomalies of the pulmonary veins.Cardiovasc Clin 5:23–41, 1973
Delise G, Ando M, Calder AL, Zuberbuhler IR, Rochenmacher S, Alday LE, Mangini O, Van Praagh S, Van Praagh R: Total anomalous pulmonary venous connection: report of 93 autopsied cases with emphasis on diagnostic and surgical considerations.Am Heart J 91:99–122, 1976
Nihill MR, McNamara DG: Magnification pulmonary wedge angiography in the evaluation of children with congenital heart disease and pulmonary hypertension.Circulation 58:1094–1106, 1978
Nihill MR, Mullins CE, McNamara DG: Visualization of the pulmonary arteries in pseudotruncus by pulmonary vein wedge angiography.Circulation 58:140–147, 1978
Sigh SP, Rigby ML, Astley R: Demonstration of pulmonary arteries by contrast injection into pulmonary vein.Brit Heart J 40:55–57, 1978
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Bini, R.M., Bargeron, L.M. Visualization of pulmonary vein obstruction by pulmonary artery wedge injection. Pediatr Cardiol 2, 161–162 (1982). https://doi.org/10.1007/BF02424953
Issue Date:
DOI: https://doi.org/10.1007/BF02424953