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The Warden Procedure through a Posterolateral Thoracotomy Approach
Author(s) -
Sowmya Ramanan,
Navaneetha Sasikumar,
Soman Rema Krishna Manohar,
Kotturathu Mammen Cherian
Publication year - 2014
Publication title -
texas heart institute journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.373
H-Index - 53
eISSN - 1526-6702
pISSN - 0730-2347
DOI - 10.14503/thij-13-3474
Subject(s) - medicine , venae cavae , thoracotomy , pulmonary vein , superior vena cava , azygos vein , venous return curve , surgery , scimitar syndrome , sinus venosus , vein , cardiology , inferior vena cava , atrial fibrillation , hemodynamics
The Warden procedure for the correction of a right-sided partial anomalous pulmonary venous connection to the high superior vena cava is well established. It has the advantages of avoiding sinoatrial node dysfunction and pulmonary and systemic venous obstruction. In the case related here, a 3-year-old girl presented with a superior vena cava type of sinus venosus atrial septal defect and an anomalously draining right upper pulmonary vein, with bilateral superior venae cavae. Our approach to the Warden procedure was through a right posterolateral thoracotomy, which provided additional advantages.

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