Hostname: page-component-848d4c4894-pftt2 Total loading time: 0 Render date: 2024-06-09T03:33:58.339Z Has data issue: false hasContentIssue false
  • English
  • Français

Congenital stenosis of pulmonary veins—failure to modify natural history by intraoperative placement of stents

Published online by Cambridge University Press:  19 August 2008

Seamus Cullen ,
Siew Yen Ho ,
Darryl Shore ,
Christopher Lincoln  and
Andrew Redington
Seamus Cullen
Affiliation:
From the Departments of Paediatric Cardiology and Surgery, Royal Brompton National Heart & Lung Hospital and the Department of Paediatrics, National Heart & Lung Institute, London
Siew Yen Ho
Affiliation:
From the Departments of Paediatric Cardiology and Surgery, Royal Brompton National Heart & Lung Hospital and the Department of Paediatrics, National Heart & Lung Institute, London
Darryl Shore
Affiliation:
From the Departments of Paediatric Cardiology and Surgery, Royal Brompton National Heart & Lung Hospital and the Department of Paediatrics, National Heart & Lung Institute, London
Christopher Lincoln
Affiliation:
From the Departments of Paediatric Cardiology and Surgery, Royal Brompton National Heart & Lung Hospital and the Department of Paediatrics, National Heart & Lung Institute, London
Andrew Redington*
Affiliation:
From the Departments of Paediatric Cardiology and Surgery, Royal Brompton National Heart & Lung Hospital and the Department of Paediatrics, National Heart & Lung Institute, London
*
Dr. Andrew Redington, Department of Paediatric Cardiology, Royal Brompton National Heart & Lung Hospital, Sydney Street, London SW3 6NP, United Kingdom.
Get access Rights & Permissions [Opens in a new window]

Abstract

Congenital pulmonary venous stenosis is a rare but important cause of pulmonary hypertension in infancy. The prognosis is uniformly poor, despite surgery and attempted balloon dilation of the narrowed veins. We performed intraoperative stenting of congenital pulmonary venous stenoses in two infants with initial clinical and hemodynamic improvement. Both patients subsequently died due to progressive pulmonary hypertension. Stenting of the pulmonary veins in this condition does not alter the natural history.

Keywords

Pulmonary veinspulmonary hypertensionstenting
Type
Original Articles
Information
Cardiology in the Young , Volume 4 , Issue 4 , October 1994 , pp. 395 - 398
Copyright
Copyright © Cambridge University Press 1994

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Edwards, JE. Congenital stenosis ofpulmonary veins: pathologic and developmental considerations. Lab Invest 1960; 9: 46–66.Google Scholar
2.Reid, JM, Jamieson, MPG, Cowan, MD. Unilateral pulmonary vein stenosis. Br Heart J 1986; 55: 599–601.CrossRefGoogle ScholarPubMed
3.Bini, RM, Cleveland, DC, Ceballos, R, Bargeron, LM, Pacifico, AD, Kirklin, R. Congenital pulmonary vein stenosis. Am J Cardiol 1984, 54: 369–375.CrossRefGoogle ScholarPubMed
4.Driscoll, DJ, Hesslein, PS, Mullins, CE. Congenital stenosis of individual pulmonary veins: clinical spectrum and unsuccessful treatment of transvenous balloon dilation. Am J Cardiol 1982; 49: 1767–1772.CrossRefGoogle ScholarPubMed
5.Pacifico, AD, Mandke, NV, McGrath, LB, Colvin, EV, Bini, RM, Bargeron, C. Repair of congenital pulmonary venous stenosis with living autologous tissue. J Thorac Cardiovasc 1985; 89: 604–609.CrossRefGoogle Scholar
6.O'Laughlin, MP, Perry, SB, Lock, JE, Mullins, CE. Use of endovascular stents in congenital heart disease. Circulation 1991; 83: 1923–1939.CrossRefGoogle ScholarPubMed
7.Fong, LV, Anderson, RH, Park, SC, Zuberbuhler, R. Morphologic features of stenosis of the pulmonary veins. Am J Cardiol 1988; 62: 1136–1138.CrossRefGoogle ScholarPubMed
8.Lock, JE, Bass, JL, Casteñeda-Zuniga, W, Fuhrman, BP, Rashkind, WJ, Lucas, RV Jr. Dilation angioplasty of congenital or operative narrowing venous channels. Circulation 1984; 70: 457–464.CrossRefGoogle ScholarPubMed
9.Zahn, EM, Houde, C, Smallhorn, JS, Freedom, RM, Benson, LN. Use of endovascular stents in the treatment of pulmonary vein stenosis. Circulation 1992, 86(Suppl I): I 251. [Abstract]Google Scholar