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[Unilateral pulmonary venous obstruction: a case report]
Kyobu Geka. the Japanese Journal of Thoracic Surgery
|July 1, 1989
Summary
Pulmonary venous reconstruction for unilateral pulmonary venous obstruction did not resolve severe pulmonary hypertension in an infant. Pneumonectomy may be a more suitable surgical option for this condition.
Area of Science:
- Pediatric Cardiology
- Thoracic Surgery
- Pulmonary Hypertension
Background:
- A 3-month-old infant presented with right common pulmonary venous obstruction and severe pulmonary hypertension.
- The patient underwent pulmonary venous reconstruction (venoplasty) to address the obstruction.
Observation:
- Pulmonary hypertension persisted post-venoplasty.
- The infant experienced complications and passed away on the 69th postoperative day.
Findings:
- Autopsy revealed a widely patent pulmonary vein at the venoplasty site.
- Histological examination showed thickened alveolar walls, pulmonary arteriolar thromboembolism, and venous hypoplasia in the right lung.
Implications:
- Venoplasty may not be the optimal treatment for unilateral pulmonary venous obstruction with severe pulmonary hypertension.
- Pneumonectomy might be a more appropriate surgical consideration in such cases.