4. Types Of Correction Of The Supracardiac Form Of Partial Abnormal Drainage Of The Pulmonary Veins. Warden Procedure

Authors

  • I.Y. Sagatov JSC «A.N. Syzganov National Scientific Center for Surgery», Almaty, Kazakhstan
  • N.S. Dosmailov JSC «A.N. Syzganov National Scientific Center for Surgery», Almaty, Kazakhstan

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Abstract

The article describes the types of correction of the supracardial form of abnormal drainage of the pulmonary veins. One of the methods of correcting this defect is the Warden operation, which includes: after sternotomy, connection of artificial circulation, cardioplegia, the superior vena cava is cut off, the proximal end is sutured. Next, a right atriotomy is performed, an anastomosis is formed using an autopericardial patch between the abnormal drainage and the left atrium through the ASD. Then an anastomosis is formed between the auricle of the right atrium and the distal end of the supe-rior vena cava. As a result, blood from the abnormal pulmonary veins begins to drain into the left atrium through the ASD.

Keywords

abnormal drainage of the pulmo-nary veins, Warden procedure

References

  1. Hopkins KA, Farber MO, Singh R, Kay WA, Herrmann JL, Brown JW. Warden Procedure in a 77-year-old Man. Ann Thorac Surg. 2019 Mar 25. pii: S0003-4975(19)30405-9
  2. Zubritskiy A, Naberukhin Y, Arkhipov A, Gorbatykh Y, Khapaev T, Nichay N, Kulyabin Y, Bogachev-Pro-kophiev A, Karaskov A. Outcomes of Double-patch and Warden Techniques in Patients with Supracar-diac Partial Anomalous Pulmonary Venous Con-nection. Heart Lung Circ. 2018 Dec 14. pii: S1443-9506(18)32007-9
  3. Aggarwal N, Gadhinglajkar S, Sreedhar R, Dharan BS, Chigurupati K, Babu S. Warden repair for superior si-nus venosus atrial septal defect and anomalous pul-monary venous drainage in children: Anesthesia and transesophageal echocardiography perspectives. Ann Card Anaesth. 2016 Apr-Jun;19(2):293-299
  4. Zubritskiy A, Arkhipov A, Khapaev T, Naberukhin Y, Omelchenko A, Gorbatykh Y, Bogachev-Prokophiev A, Karaskov A. The Warden procedure can be suc-cessfully performed using minimally invasive cardiac surgery without aortic clamping. Interact Cardiovasc Thorac Surg. 2016 Feb;22(2):225-227
  5. Hiten R. Patel, Suchit Bhutani, Fayez Shamoon, Har-taj Virk. Deciphering a case of pulmonary hyperten-sion in a young female: Partial anomalous pulmonary venous drainage the culprit. Ann Thorac Med. 2018 Jan-Mar; 13(1): 55–58

Published

2021-11-15

Issue

No. 3 (2021)

Section

Статьи