Delayed repair of right atrial isomerism with obstructed total anomalous pulmonary venous drainage by hybrid stent insertion between the left-sided atrium.

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Delayed repair of right atrial isomerism with obstructed total anomalous pulmonary venous drainage by hybrid stent insertion between the left-sided atrium and pulmonary venous confluence Rajiv R. Chaturvedi, MD, PhD, Glen S. Van Arsdell, MD, Frederic Jacques, MD, Kyong-Jin Lee, MD The Journal of Thoracic and Cardiovascular Surgery Volume 144, Issue 1, Pages 271-273 (July 2012) DOI: 10.1016/j.jtcvs.2011.12.056 Copyright © 2012 Terms and Conditions

Figure 1 Angiographic images of stent implantation from posterior pulmonary venous confluence to left-sided atrium. A and B, Anterolateral projection of infradiaphragmatic total anomalous pulmonary venous drainage with obstruction at level of diaphragm and portal vein insertion. C, Lateral projection of stent at beginning of balloon inflation. D, Lateral projection of fully expanded stent. E, Anterolateral projection of angiogram after stent implantation. F, Angiography through Blalock-Taussig shunt demonstrating pulmonary venous return into stent. ∗Pulmonary venous confluence. vv, Vertical vein. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 271-273DOI: (10.1016/j.jtcvs.2011.12.056) Copyright © 2012 Terms and Conditions

Figure 2 Echocardiographic images of flow from posterior pulmonary venous confluence through stent struts into left-sided atrium. A, Subcostal left axial oblique 2-dimensional view. B, Color flow image of A. C, Subcostal left axial oblique image of pulmonary veins draining into pulmonary venous confluence through stent struts. D, Parasternal short axis view of stent from pulmonary venous confluence to left-sided atrium. E, Color flow image of D. F, Four-chamber view of flow from pulmonary venous confluence to left-sided atrium. LA, Left atrium; pvc, pulmonary venous confluence; pv, pulmonary veins. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 271-273DOI: (10.1016/j.jtcvs.2011.12.056) Copyright © 2012 Terms and Conditions