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Descending aortic flow reversal in obstructed total anomalous pulmonary venous connection

  • Anupama K. Nair (a1), Sitaraman Radhakrishnan (a1) and Krishna S. Iyer (a2)

Abstract

In this study, we present the case of a neonate with obstructed infracardiac total anomalous pulmonary venous connection with severe pulmonary hypertension and a patent ductus arteriosus with right-to-left shunting. The patient had an unusual finding of pandiastolic flow reversal in the upper descending thoracic aorta. He underwent emergency surgical re-routing of the pulmonary veins to the left atrium, and postoperative echocardiography showed disappearance of the descending aortic flow reversal. We hypothesise that in severely obstructed total anomalous pulmonary venous connection the left ventricular output may be extremely low, resulting in flow reversal in the descending aorta.

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Corresponding author

Correspondence to: A. K. Nair, Department of Pediatric Cardiology, Fortis Escorts Heart Institute & Research Centre, 5th floor, Okhla Road, New Delhi, Delhi 110025, India. Tel: +91-9818811317; Fax: +91-11-26825013; E-mail: dranu80nair@gmail.com

References

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1. Ferencz, C, Rubin, JD, McCarter, RJ, et al. Congenital heart disease: prevalence at livebirth: the Baltimore-Washington Infant Study. Am J Epidemiol 1985; 121: 3136.
2. Seale, A, Uemura, H, Webber, SN, et al. Total anomalous pulmonary venous connection morphology and outcome from an international population-based study. Circulation 2010; 122: 27182726.
3. Anderson, RH, Macartney, FJ. Pulmonary venous abnormalities. In: Pamela Hetherington (ed.) Paediatric Cardiology, 2nd edn. Churchill Livingston, Philadelphia, 2002: 867930.
4. Delisle, G, Ando, M, Calder, AL, et al. Total anomalous pulmonary venous connection: report of 93 autopsied cases with emphasis on diagnostic and surgical considerations. Am Heart J 1976; 91: 99122.
5. Van Son, JA, Hambsch, J, Kinzel, P, Haas, GS, Mohr, FW. Urgency of operation in infracardiac total anomalous pulmonary venous connection. Ann Thorac Surg 2000; 70: 128130.
6. Lane, J, Acherman, RJ, Khongphattanayothin, A, et al. Reverse aortic arch flow secondary to severe pulmonary hypertension in the neonate. Am J Perinatol 1999; 16: 143149.
7. Khongphatthanayothin, A, Lane, J, Wong, PC, Acherman, RJ. Severe pulmonary hypertension as a cause of reverse aortic arch flow in the neonate: report of two cases. J Am Soc Echocardiogr 1996; 9: 915917.
8. Upponi, A, Rakhecha, A, Gibbs, JL. Reversal of flow in the descending aorta associated with hypercapnoea. Cardiol Young 2008; 18: 350.
9. Moradian, M, Nokhostin-Davari, P, Merajie, M. Aortic runoff as a sign of intracranial arteriovenous malformation: report of two cases. Iran J Pediatr 2013; 23: 229232.

Keywords

Descending aortic flow reversal in obstructed total anomalous pulmonary venous connection

  • Anupama K. Nair (a1), Sitaraman Radhakrishnan (a1) and Krishna S. Iyer (a2)

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