Patent ductus arteriosus with hemiazygos communication to left superior vena cava.

Ann Thorac Cardiovasc Surg

Department of Cardiovascular Surgery, Kyushu University, Higashi-ku, Fukuoka, Japan.

Published: August 2008

AI Article Synopsis

  • A 24-day-old infant underwent ligation of a patent ductus arteriosus (PDA) through a left thoracotomy, despite having an inferior vena cava defect and hemiazygos communication to a persistent left superior vena cava (LSVC).
  • The large hemiazygos vein was successfully mobilized to allow for the safe ligation of the PDA without causing any hemodynamic instability.
  • The patient's recovery after surgery was smooth and without complications.

Article Abstract

We experienced the ligation of patent ductus arteriosus (PDA) via the left thoracotomy in a 24-day-old infant with inferior vena cava defect and hemiazygos communication to a persistent left superior vena cava (LSVC). Although the large hemiazygos vein (HAzV) crossed just in front of PDA, its mobilization enabled the smooth ligation of PDA without hemodynamic instability. The postoperative course was uneventful.

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