Abstract
Despite of the reached success in treatment of supracardiac forms of TADPV, a question about ligation of abnormal ascending vertical vein at correction till now remains very actual. Some authors consider the bandaging of a vertical vein as the necessary component of operation while others recommend leaving the vessel being functioning. Analyses of defect correction using different methods in correction have shown that surgical correction is possible to all patients. However the performance of radical correction with closed tactics of all the messags is possible only in that case if the ratio of right and left ventricle is no more than 2/1, the mitral valve diameter is within the normal range and a low pulmonary hypertension. Otherwise it is recommended to leave a collector of pulmonary veins (a vertical vein) or an interatrial message opened to avoid postoperative complications. It has allowed us to prove the optimal tactics in surgical treatment of this anomaly. The question of right heart overload is much of importance in the immediate postoperative period at the significant reversed left-to-right shunt through the functioning anomalous vessel. In this case, the authors are convinced in the expediency of vessel occlusion by endovascular method.
References
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