Cor Vasa 2016, 58(5):e501-e504 | DOI: 10.1016/j.crvasa.2015.08.004

Modified Warden procedure in adult with partial anomalous pulmonary venous connection after previous atrial septal defect repair

Gianluigi Perri^a,*, Francesca Graziani^a, Piergiorgio Bruno^a, Maria Grandinetti^a, Chiara Lanzillo^c, Marta Marziali^c, Antonio Amodeo^b, Massimo Massetti^a

^a Cardiovascular Department, Catholic University - A. Gemelli Hospital, Rome, Italy

^b Department of Pediatric Cardiology and Cardiac Surgery, Bambino Gesù Children's Hospital, Rome, Italy

^c Department of Cardiology, Policlinico Casilino, Rome, Italy

A 20-year-old boy was admitted to our Hospital for recurrent pleural effusion, effort breathless and initial signs of right heart failure. He had primary diagnosis, in childhood, of secundum ASD and had undergone, at the age of 16 years, ASD repair with patch. A MRI showed anomalous connection of two pulmonary veins in highest superior vena cava. We performed a modified Warden procedure with a prosthetic conduit. We report the advantages of this technique in reintervention in adult congenital patient.
Learning objective: To give information about the possible surgical technique in adult congenital patient with anomalous pulmonary veins connection who had previously undergone surgical procedure.

Keywords: Adult congenital heart patients; Atrial septal defect; Pulmonary venous anomalies

Received: July 3, 2015; Revised: August 11, 2015; Accepted: August 13, 2015; Published: October 1, 2016  Show citation