Preference for double-patch technique in adult patients with partial anomalous pulmonary venous return

Baburhan Ozbek, Murat Ugur

Abstract

Introduction: Partial anomalous pulmonary venous return (PAPVR) can be treated with either the single- or double-patch technique. In this study, we evaluated the results of both techniques in adult patients with PAPVR.
Methods: We reviewed the records of 29 patients treated for PAPVR in two groups, according to which surgical technique was used.
Results: Double- and single-patch repair techniques were performed in 12 (group 1) and 17 patients (group 2), respectively. In group 2, three patients with a distance of more than 10 mm between the ostium of the anomalous pulmonary vein and the cava–atrial junction needed surgical re-intervention because of superior vena cava stenosis. There was no sinus node dysfunction and no mortality in either group.
Conclusion: In adult patients with PAPVR, the double-patch repair technique revealed better results than the single-patch technique, especially in patients with the ostium of the distal anomalous pulmonary vein more than 10 mm from the cava–atrial junction.