Postsurgical cavo-pulmonary anastomosis and its implication in endovascular procedures.
ABSTRACT: Both through dissections in cadaveric material and through imaging methods, multiple anatomical variants have been described in the vascular system, the superior cava system being no exception. These congenital or acquired modifications may difficult the performance of endovascular procedu...
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Asociación Argentina de Anatomía Clínica (Argentine Association of Clinical Anatomy)
2022
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I10-R321-article-367672022-03-25T18:10:31Z Postsurgical cavo-pulmonary anastomosis and its implication in endovascular procedures. ANASTOMOSIS CAVO-PULMONAR POSTQUIRÚRGICA Y SU IMPLICANCIA EN PROCEDIMIENTOS ENDOVASCULARES Ignatov Galan, M. Florencia Russo Couste, Alejandro M. superior vena cava; right pulmonary artery; central venous catheter; anatomy. vena cava superior; arteria pulmonar derecha; catéter venoso central; anatomía. ABSTRACT: Both through dissections in cadaveric material and through imaging methods, multiple anatomical variants have been described in the vascular system, the superior cava system being no exception. These congenital or acquired modifications may difficult the performance of endovascular procedures, such as the placement of central venous lines. For safe performance of such procedures, knowledge of these variants is essential. This study reports the case of an individual with Ebstein's disease surgically corrected by a tricuspid valve replacement and bidirectional cavopulmonary anastomosis (Glenn procedure), who was admitted for placement of a long-term central venous device. Pre, intra and postoperative imaging studies allow mapping the patient's anatomy, planning and performing the surgical act as well as control of the devices placed during evolution. RESUMEN: Tanto por medio de disecciones en material cadavérico como a través de métodos imagenológicos, se han descrito múltiples variantes anatómicas en el árbol vascular, no siendo el sistema cava superior la excepción. Estas modificaciones del árbol vascular, congénitas o adquiridas complejizan la realización de procedimientos endovasculares, tales como la colocación de vías venosas centrales. Para la realización segura de tales procedimientos es fundamental el conocimiento de dichas variantes. En el presente estudio se reporta el caso de un individuo con enfermedad de Ebstein corregida quirúrgicamente por medio de un recambio valvular tricuspideo y anastomosis cavo pulmonar bidireccional (procedimiento de Glenn) que ingresa para colocación de un catéter venoso central con reservorio subcutáneo. Los estudios imagenológicos pre, intra y postoperatorios permiten el mapeo de la anatomía del paciente, la planificación y realización del acto quirúrgico así como el control de los dispositivos colocados en la evolución. Asociación Argentina de Anatomía Clínica (Argentine Association of Clinical Anatomy) 2022-03-25 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/anatclinar/article/view/36767 10.31051/1852.8023.v14.n1.36767 Revista Argentina de Anatomía Clínica (Argentine Journal of Clinical Anatomy); Vol. 14 No. 1 (2022): March 2022; 31-34 Revista Argentina de Anatomía Clínica; Vol. 14 Núm. 1 (2022): Marzo 2022; 31-34 1852-8023 10.31051/1852.8023.v14.n1 spa https://revistas.unc.edu.ar/index.php/anatclinar/article/view/36767/37383 Derechos de autor 2022 M. Florencia Ignatov Galan, Alejandro M. Russo Couste http://creativecommons.org/licenses/by-nc/4.0 |
institution |
Universidad Nacional de Córdoba |
institution_str |
I-10 |
repository_str |
R-321 |
container_title_str |
Revista Argentina de Anatomía Clínica |
language |
Español |
format |
Artículo revista |
topic |
superior vena cava; right pulmonary artery; central venous catheter; anatomy. vena cava superior; arteria pulmonar derecha; catéter venoso central; anatomía. |
spellingShingle |
superior vena cava; right pulmonary artery; central venous catheter; anatomy. vena cava superior; arteria pulmonar derecha; catéter venoso central; anatomía. Ignatov Galan, M. Florencia Russo Couste, Alejandro M. Postsurgical cavo-pulmonary anastomosis and its implication in endovascular procedures. |
topic_facet |
superior vena cava; right pulmonary artery; central venous catheter; anatomy. vena cava superior; arteria pulmonar derecha; catéter venoso central; anatomía. |
author |
Ignatov Galan, M. Florencia Russo Couste, Alejandro M. |
author_facet |
Ignatov Galan, M. Florencia Russo Couste, Alejandro M. |
author_sort |
Ignatov Galan, M. Florencia |
title |
Postsurgical cavo-pulmonary anastomosis and its implication in endovascular procedures. |
title_short |
Postsurgical cavo-pulmonary anastomosis and its implication in endovascular procedures. |
title_full |
Postsurgical cavo-pulmonary anastomosis and its implication in endovascular procedures. |
title_fullStr |
Postsurgical cavo-pulmonary anastomosis and its implication in endovascular procedures. |
title_full_unstemmed |
Postsurgical cavo-pulmonary anastomosis and its implication in endovascular procedures. |
title_sort |
postsurgical cavo-pulmonary anastomosis and its implication in endovascular procedures. |
description |
ABSTRACT:
Both through dissections in cadaveric material and through imaging methods, multiple anatomical variants have been described in the vascular system, the superior cava system being no exception. These congenital or acquired modifications may difficult the performance of endovascular procedures, such as the placement of central venous lines. For safe performance of such procedures, knowledge of these variants is essential.
This study reports the case of an individual with Ebstein's disease surgically corrected by a tricuspid valve replacement and bidirectional cavopulmonary anastomosis (Glenn procedure), who was admitted for placement of a long-term central venous device.
Pre, intra and postoperative imaging studies allow mapping the patient's anatomy, planning and performing the surgical act as well as control of the devices placed during evolution. |
publisher |
Asociación Argentina de Anatomía Clínica (Argentine Association of Clinical Anatomy) |
publishDate |
2022 |
url |
https://revistas.unc.edu.ar/index.php/anatclinar/article/view/36767 |
work_keys_str_mv |
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first_indexed |
2024-09-03T22:46:56Z |
last_indexed |
2024-09-03T22:46:56Z |
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1809216822175596544 |