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J Thorac Cardiovasc Surg 2006;132:166-167
© 2006 The American Association for Thoracic Surgery

Brief Communication

Novel use of a retroaortic innominate vein in cavopulmonary anastomosis

Ravi Agarwal, MCh a , Ganapathy Subramaniam Krishnan, MCh a , * , Snehal Kulkarni, DNB b , Kinnari Bhatt, MD c , Kotturathu Mammen Cherian, FRACS a

a Department of Pediatric Cardiac Surgery, Frontier Lifeline Hospital, International Centre for Cardiothoracic and Vascular disease, Tamil Nadu, India
b Department of Pediatric Cardiology, Frontier Lifeline Hospital, International Centre for Cardiothoracic and Vascular disease, Tamil Nadu, India
c Department of Pediatric Cardiac Anesthesia, Frontier Lifeline Hospital, International Centre for Cardiothoracic and Vascular disease, Tamil Nadu, India

Received for publication January 22, 2006; revisions received January 22, 2006; accepted for publication February 15, 2006.

* Address for reprints: Ganapathy Subramaniam Krishnan, MCh, 35/1 P.C.O Road Egmore, Chennai, Tamil Nadu–600008. (Email: ganapathysubramaniamk@gmail.com).

The first 20% of the full text of this article appears below.

A retroaortic innominate vein is a rare condition with an incidence of 0.2% to 1% among congenital cardiac anomalies. 1,2 Go Its association with right aortic arch, high left aortic arch, and pulmonary atresia or stenosis is well recognized. 3 Go We present a child with tricuspid atresia and pulmonary atresia with bifurcation stenosis of confluent pulmonary arteries (Figure 1). The child also had a right aortic arch. The parallel course of the retroaortic innominate vein with the pulmonary artery was used in pulmonary artery reconstruction by creating a wide side-to-side anastomosis (Figure 2).


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  		Figure 1. Patient with tricuspid atresia, pulmonary atresia with a left modified Blalock-Taussig (BT) shunt, a stented patent ductus arteriosus, and blocked central aortopulmonary shunt to the right pulmonary artery.

 

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  		Figure 2. Control of all central aortopulmonary shunts. Transection of the aorta was performed to gain adequate exposure for pulmonary artery reconstruction. A side-to-side anastomosis of the opened retroaortic innominate vein and pulmonary artery was created.

 
Clinical Summary

The child was given a diagnosis of tricuspid atresia and pulmonary . . . [Full Text of this Article]






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