Primary left pulmonary vein stenosis is a very rare
condition. It is associated with variable form of Pulmonary artery
hypertension. Catheter based intervention is used to treat the disease like balloon dilation and
stenting but this has high recurrence rate. Here is a case in which we did a
sutureless repair of left pulmonary vein thus decreasing the possibility of
recurrence. Sutureless surgical management is technically superior and less
challenging than direct left atrial wall anastomosis and it provides better
results than catheter based intervention in terms of recurrence of stenosis.
References
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Latson, L.A. and Prieto, L.R. (2007) Congenital and Acquired Pulmonary Vein Stenosis. Circulation, 115, 103-108. https://doi.org/10.1161/CIRCULATIONAHA.106.646166
[2]
Breinholt, J.P., Hawkins, J.A., Minich, L., et al. (1999) Pulmonary Vein Stenosis with Normal Connection: Associated Cardiac Abnormalities and Variable Outcome. The Annals of Thoracic Surgery, 68, 164-168. https://doi.org/10.1016/S0003-4975(99)00311-2
[3]
Tomita, H., Watanabe, K., Yazaki, S., et al. (2003) Stent Implantation and Subsequent Dilatation for Pulmonary Vein Stenosis in Pediatric Patients: Maximizing Effectiveness. Circulation, 67, 187-190. https://doi.org/10.1253/circj.67.187
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Mendelsohn, A.M., Bove, E.L., Lupinetti, F.M., et al. (1993) Intraoperative and Percutaneous Stenting of Congenital Pulmonary Artery and Vein Stenosis. Circulation, 88, 210-217.
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Drossner, D.M., Kim, D.W., Maher, K.O. and Mahle, W.T. (2008) Pulmonary Vein Stenosis: Prematurity and Associated Conditions. Pediatrics, 122, e656-661. https://doi.org/10.1542/peds.2008-0075
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Devaney, E.J., Chang, A.C., Ohye, R.G. and Bove, E.L. (2006) Management of Congenital and Acquired Pulmonary Vein Stenosis. The Annals of Thoracic Surgery, 81, 992-996. https://doi.org/10.1016/j.athoracsur.2005.08.020
