PVS NETWORK
  • Home
    • About PVS Network
    • Participating institutions
    • Creating Hope
  • Parents
    • About PVS
    • Clinical tests >
      • Echocardiography
      • CT Scan
      • MRI Scan
      • Heart catheterization
      • Lung perfusion scan
    • Treatment options >
      • Surgery
      • Catheter based intervention
      • Medical therapy
      • Lung transplant
      • Palliative care
    • Frequently asked questions
    • Links
  • Clinicians
    • PVS: outcomes and pathophysiology
    • Clinical Care for Children with PVS >
      • Treatment options >
        • Surgical Options
        • Catheter based interventions
        • Medical therapies
        • Transplantation
        • Palliative Care
      • Surveillance imaging
    • Clinical Scenarios: tough decisions
    • Clinical Trials and Research
  • Research
    • PVS Network Registry >
      • PVS Registry Image Guide
      • PVS data collection forms 2017
    • PVS Clinical Research
    • Recently Published
  • Contact Us
    • Ways to Donate
    • Links to Related Sites
    • Newsletters
  • PVS Awareness
    • T- shirt Campaign
    • Knowledge is Hope
    • TEAM PVS!
    • Resolution
    • Superhero
    • Donate Life Month
    • Supermom
    • Sibling
    • PVS Aware
    • Life is a beautiful ride

Surgery to treat pulmonary vein stenosis

Surgery can be used to treat pulmonary vein stenosis. The surgeon will typically fix the pulmonary veins with a technique called the sutureless repair.  The sutureless repair can be called marsupialization as well.

​During surgery , the surgeon will cut open the pulmonary veins that are stenotic and relieve the areas that are obstructed.  To make the pulmonary veins bigger, the surgeon will sew the atrium to the pericardium around the pulmonary veins to create a new roof over the pulmonary veins and widen the connection to the left atrium. Other approaches us a patch of pericardium ( child's own lining around the heart) or a other materials (Figure 1a and b)
​Surgery will require that your child be put to sleep with a general anesthetic and special lines will be placed to monitor their heart and lung function during the operation.  Your child will need to be placed on the heart lung machine ( cardiopulmonary bypass) to allow the surgeon to work on the heart.

Who gets surgery on the pulmonary veins?

Children who have stenosis that is close to the atrium are typically selected for surgery.  The surgeon is directly able to fix this area without damaging the lung. A child can have a repair done to one or all the pulmonary veins, depending on the severity and number of veins affected by the disease. 

Typically, stenosis in a single pulmonary vein is treated by catheter based interventions or simply observed for progression, unless the child is undergoing cardiac surgery for another reason.

What are the risks associated with surgery?

Surgery is associated with risks because it is an invasive procedure. One of the main risks is bleeding and damage to nearby structures.  Talk to your doctor about the risks associated with surgery and what is best for your child.
Picture
The sutureless repair was pioneered by Dr. John Coles at the Hospital for Sick Children. This surgery corrects pulmonary vein stenosis by opening up the stenotic area of the pulmonary vein  and part of the left atrium. The surgeon then sutures the pericardium to the left atrium over the pulmonary veins to create a new roof that allows blood to flow unobstructed.
​

Home

About

Contact Us

Copyright © 2015
  • Home
    • About PVS Network
    • Participating institutions
    • Creating Hope
  • Parents
    • About PVS
    • Clinical tests >
      • Echocardiography
      • CT Scan
      • MRI Scan
      • Heart catheterization
      • Lung perfusion scan
    • Treatment options >
      • Surgery
      • Catheter based intervention
      • Medical therapy
      • Lung transplant
      • Palliative care
    • Frequently asked questions
    • Links
  • Clinicians
    • PVS: outcomes and pathophysiology
    • Clinical Care for Children with PVS >
      • Treatment options >
        • Surgical Options
        • Catheter based interventions
        • Medical therapies
        • Transplantation
        • Palliative Care
      • Surveillance imaging
    • Clinical Scenarios: tough decisions
    • Clinical Trials and Research
  • Research
    • PVS Network Registry >
      • PVS Registry Image Guide
      • PVS data collection forms 2017
    • PVS Clinical Research
    • Recently Published
  • Contact Us
    • Ways to Donate
    • Links to Related Sites
    • Newsletters
  • PVS Awareness
    • T- shirt Campaign
    • Knowledge is Hope
    • TEAM PVS!
    • Resolution
    • Superhero
    • Donate Life Month
    • Supermom
    • Sibling
    • PVS Aware
    • Life is a beautiful ride