The analysis of a 6-year patient’s medical history after correction of congenital heart disease (partial anomalous drainage of the right superior pulmonary vein into the superior vena cava) complicated by obstruction of the anastomosis between the SVC and the appendage right atrium is presented. The article discusses the stages of diagnosis and patient management features, as well as the choice of treatment.Received 12 December 2016. Accepted 14 February 2017.Financing: The study did not have sponsorship.Conflict of interest: The authors declare no conflict of interest.Svyazov E.A.: data analysis, article writing and editing. Podoksenov A.U.: article editing. Varvarenko V.I.: implantation of the stent-graft in superior vena cava.Martsinkevich G.I.: echocardiographic examination of the patient before and after endograft implantation, article editing. Krivoshchyokov E.V.: organizational work and referral of the patient to endovascular treatment, article editing.

In this article we analyze the impact of aortic arch repair on the development of aortic obstruction when using a Norwood procedure. Patients were divided into two groups. Group 1 included patients who underwent neoaortic plasty performed by using bovine pericardial patches (group 1, n = 6). Group 2 consisted of patients, whose arch was repaired with autologous tissues only, without using bovine pericardial (group 2, n = 12). The groups were comparable by demographic data. To measure the aorta, we used cardiac catheterization data obtained before stage 2 of hemodynamic correction. Angiographic measurements were carried out at the level of distal anastomosis and descending aorta. Coarctation index (CI) was calculated as the ratio between distal anastomosis on neoaorta and descending aorta. Occurrence of aortic obstruction in groups 1 and 2 was 50% (n = 3) and 16.7% (n = 2) respectively (p = 0.137). The aorta at the level of distal anastomosis was greater in group 2 if compared with group 1. Differences between the two groups were not statistically significant. CI for groups 1 and 2 were 0.730.16 and 0.90.18 respectively (p = 0.08). When comparing patients with the obstruction of the aortic arch and without it, the presence of ductus arteriosus tissue was found out to be associated with stenosis (p = 0.019). The authors believe that the complete excision of coarctation tissue is one of the keys to prevention of postoperative aortic arch obstruction.

In this article we analyze the impact of aortic arch repair on the development of aortic obstruction when using a Norwood procedure. Patients were divided into two groups. Group 1 included patients who underwent neoaortic plasty performed by using bovine pericardial patches (group 1, n = 6). Group 2 consisted of patients, whose arch was repaired with autologous tissues only, without using bovine pericardial (group 2, n = 12). The groups were comparable by demographic data. To measure the aorta, we used cardiac catheterization data obtained before stage 2 of hemodynamic correction. Angiographic measurements were carried out at the level of distal anastomosis and descending aorta. Coarctation index (CI) was calculated as the ratio between distal anastomosis on neoaorta and descending aorta. Occurrence of aortic obstruction in groups 1 and 2 was 50% (n = 3) and 16.7% (n = 2) respectively (p = 0.137). The aorta at the level of distal anastomosis was greater in group 2 if compared with group 1. Differences between the two groups were not statistically significant. CI for groups 1 and 2 were 0.730.16 and 0.90.18 respectively (p = 0.08). When comparing patients with the obstruction of the aortic arch and without it, the presence of ductus arteriosus tissue was found out to be associated with stenosis (p = 0.019). The authors believe that the complete excision of coarctation tissue is one of the keys to prevention of postoperative aortic arch obstruction.

The article presents the results of assessment of pulmonary arteries development depending on the operative approach in children with congenital heart disease and univentricular hemodynamics after systemic-to-pulmonary shunt. Twenty three patients were included in the study. Before a bidirectional Glenn shunt these patients underwent pulmonary angiography and assessment of indices of pulmonary artery development: the Nakata and Reddy index, the McGoon ratio. The data obtained show that sternotomy provides more adequate development of pulmonary arteries and doesn't damage the architectonics of pulmonary vessels in comparison with the patients who underwent systemic-to-pulmonary shunt through lateral thoracotomy.