Percutaneous Delayed Closure of the Vertical Vein for Severe Left-Sided Heart Failure after Repair of the Total Anomalous Pulmonary Venous Drainage

Abstract

A 31-day-old infant with total anomalous pulmonary venous drainage (type I-A) suffered from severs left-sided heart failure unable to be weaned from cardiopulmonary bypass (CPB) after total repair. By reopening the vertical vein, the CPB was successfully terminated and the sternum was closed primarily. Percutaneous delayed closure of the vertical vein by lifting up the string which had been encircled the vertical vein at the time of repair was performed 3 days after repair. Systemic arterial pressure and left atrial pressure were unchanged after closure of the vertical vein. Postoperative cardiac study revealed satisfactory result and no left-to-right shunt through the vertical vein.