Total Anomalous Pulmonary Venous Connection in a Teenage Patient
Total anomalous pulmonary venous connection is usually seen and treated in childhood or in neonatal period in his
obstructive type. Sometime it can be detected beyond the first decade. The objective of this case report is to give prove of the fact that it can
be seen and treated in a teenager. We present a rare case of 15 years old boy who was admitted for supraventricular tachycardia with
hypotension. Emergency electrocardiography showed atrial Flutter with a frequency of 225 beats/min. He complained from dyspnea state
2 at New York Heart Association functional classification before. The echocardiography showed a dilated coronary sinus in cardiac-type
total anomalous pulmonary venous connection associated with a large atrial septal defect. Cardiac rhythm was normal after administration
of Amiodarone. In cardiopulmonary bypass, an incision was made from the atrial septal defect to unroof the coronary sinus; a large
pericardial patch was put to close the unroofing coronary sinus and let it in the left atrium. A De Vega tricuspid annuloplasty was done to
reduce the tricuspid valve leak. The patient’s postoperative course was uneventful and was discharged in day 9 after operation. Total
pulmonary venous return can evolve until teenage if the atrial septal defect is large. Evolution is good after a complete repair.
Auteur(s) : Papa Salmane Ba, Momar Sokhna Diop, Papa Amath Diagne, Ndeye Fatou Sow, Papa Adama Dieng, Amadou Gabriel Ciss, Mouhamadou N’Diaye
Pages : 69-71
Année de publication : 2019
Revue : International Journal of Cardiovascular and Thoracic Surgery
N° de volume : 5
Type : Article
Mise en ligne par : DIOP Momar Sokhna dit Sidy Khoya