Preserving Pathways: Strategies for Left Superior Vena Cava Management in Pediatric Cardiac Surgery.

ABSTRACT:

Background

Persistent left superior vena cava (LSVC) is a common congenital anomaly requiring operative management when it causes significant right-to-left shunting or during heart transplantation. Comparative patency of various LSVC repatriation methods to the right side of the heart has not been systematically studied.

Methods

This is a single-institution, retrospective review of patients undergoing surgical management of LSVC from 2013 to 2023. Patients were grouped on the basis of the LSVC to right atrium path: coronary sinus (CS) group with LSVC-CS anastomosis; systemic vein (SV) group with LSVC drainage through donor superior vena cava, right atrial appendage, or innominate vein; or atrial baffle (AB) group. Our primary objective is LSVC patency rate in each group.

SUBMITTER: Wang CC 

PROVIDER: S-EPMC12559576 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature