World Journal of Cardiovascular Surgery, 2018, 8, 1-6
http://www.scirp.org/journal/wjcs
ISSN Online: 2164-3210
ISSN Print: 2164-3202
DOI: 10.4236/wjcs.2018.81001 Jan. 9, 2018 1 World Journal of Cardiovascular Surgery
Sutureless Repair of Left Primary Pulmonary
Vein Stenosis—A Case Report
Romil D. Sharma
*
, Ankit Jain, Navnita Kisku, Prerit Agarwal, Saket Agarwal
Govind Ballabh Pant Institute of Post Graduate Medical Education and Research, New Delhi, India
Abstract
Primary left pulmonary vein stenosis is a very rare condition. It is associated
with variable form of Pulmonary artery hypertension. Catheter based inter-
vention 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.
Keywords
Pulmonary Vein Stenosis, Trans Thoracic Echocardiogram,
Atrial Septal Defect
1. Introduction
Primary Pulmonary vein stenosis (PVS) occurs due to developmental aberra-
tions in the incorporation of pulmonary veins into left atrial wall. It is a very rare
anomaly and is present in 0.5% of autopsy in children. It may manifest as iso-
lated lesion or associated with other cardiac defects (more than 50% of cases).
Though the catheter based interventions like balloon dilation, stent insertion,
excision of stenotic segment, patch grafting are used to correct such stenotic le-
sions, the re-stenosis rates are higher than the sutureless surgical management.
We present a case, who underwent surgical sutureless repair for left side primary
pulmonary vein (LSPV) stenosis and had an uneventful post operative recovery
with no residual stenosis.
2. Case Report
A 4 year old female child, 14 kg was admitted for dyspnea, tachypnea and cya-
How to cite this paper: Sharma, R.D., Jain,
A., Kisku, N., Agarwal, P. and Agarwal, S.
(2018) Sutureless Repair of Left Primary
Pulmonary Vein Stenosis—A Case Report.
World Journal of Cardiovascular Surgery,
8, 1-6.
https://doi.org/10.4236/wjcs.2018.81001
Received: December 15, 2017
Accepted: January 4, 2018
Published: January 9, 2018
Copyright © 2018 by authors and
Scientific Research Publishing Inc.
This work is licensed under the Creative
Commons Attribution International
License (CC BY 4.0).
http://creativecommons.org/licenses/by/4.0/
Open Access