Evidence map›Paper›PMID 38093114›Full record

ArticlePediatric cardiology2025

Persistent Patent Vertical Vein After Repair of Total Anomalous Pulmonary Venous Connection (TAPVR): A Rare Cause of Hypoxemia Post-Fontan Procedure.

Aditi Gupta, Megan Gunsaulus, Alexandra Erdmann, Mario Castro Medina, Tarek Alsaied, Jacqueline Kreutzer

Abstract readCase Reports
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In one paragraph

Article in Pediatric cardiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 68% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Aditi GuptaDivision of Pediatric Cardiology, Department of Pediatrics, University of Pittsburgh, Heart Institute, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.
Megan GunsaulusDivision of Pediatric Cardiology, Department of Pediatrics, University of Pittsburgh, Heart Institute, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.
Alexandra ErdmannDivision of Pediatric Cardiology, Department of Pediatrics, University of Pittsburgh, Heart Institute, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.
Mario Castro MedinaDivision of Pediatric Cardiology, Department of Pediatrics, University of Pittsburgh, Heart Institute, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.
Tarek AlsaiedDivision of Pediatric Cardiology, Department of Pediatrics, University of Pittsburgh, Heart Institute, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA.
Jacqueline KreutzerDivision of Pediatric Cardiology, Department of Pediatrics, University of Pittsburgh, Heart Institute, UPMC Children's Hospital of Pittsburgh, Pittsburgh, PA, USA. jacqueline.kreutzer@chp.edu.
Children's Hospital of Pittsburgh · USUniversity of Pittsburgh · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vertical vein (VV) ligation during total anomalous pulmonary venous return (TAPVR) repair is controversial. While some surgeons prefer ligation of the VV to prevent adverse sequelae of shunting across it and to promote flow through the newly created anastomosis, others leave it to serve as a "pop off valve" to the left heart structures, which are believed to be hypoplastic and noncompliant, presumably contributing to a more favorable post-operative outcome. We report two patients post-Fontan procedure, who underwent cardiac catheterization to explore the etiology of hypoxia and were found to have a persistent VV responsible for right to left shunting. Both patients underwent closure of the VV with improvement in the cyanosis and clinical course. These cases provide evidence supporting surgical ligation of the VV at the time of TAPVR repair, especially in patients with single ventricle.

Indexed as

Fontan ProcedureHypoxiaPostoperative ComplicationsPulmonary VeinsScimitar SyndromeCardiac CatheterizationHumansLigationCardiac cathFontan procedureHeterotaxyTotal anomalous pulmonary venous return (TAPVR)Vertical vein

Identifiers

PMID38093114
OpenAlexW4389671938

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.