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Transcatheter closure of an unligated vertical vein with an Amplatzer Vascular Plug-II device

Lombardi, M.; Tagliente, M.R.; Pirolo, T.; Massari, E.; Sisto, M.; Vairo, U.

Journal of Cardiovascular Medicine: December 2016 - Volume 17 - Issue - p e221–e223
doi: 10.2459/JCM.0000000000000197
Images in cardiovascular medicine

The usual surgical practice after repair of a Total Anomalous Pulmonary Venous Connection (TAPVC) is to ligate the vertical vein (VV). Many surgeons find it expedient to leave the VV unligated to reduce pulmonary arterial pressure, decrease perioperative pulmonary hypertensive crisis, provide better hemodynamics postoperatively (1), and enable the adaptation of cardiac chambers to a new workload. Afterwards, the unligated VV may cause significant left-to-right shunt, likewise an atrial septal defect, mandating later surgical ligation or device closure (2). This report details transcatheter occlusion of a patent VV using a device Amplatzer Vascular Plug II, after TAPVC repair in early infancy. The transcatheter occlusion of an unligated VV after repair of supracardiac TAPVC represents an effective alternative to surgical redo. The device Amplatzer Vascular Plug II achieves great results.

Department of Pediatric Cardiology, Ospedale Pediatrico Giovanni XXIII, Bari, Italy

Correspondence to M. Lombardi, MD, Cardiologia Pediatrica, Azienda Policlinico-Ospedale Pediatrico Giovanni XXIII, Bari, 70126, Italy Tel: +390805596698; fax: +390805596700; e-mail:

Received 15 April, 2014

Revised 18 July, 2014

Accepted 18 July, 2014

© 2016 Italian Federation of Cardiology. All rights reserved.