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Is There an Ideal Age or Weight for the Warden Procedure in Patients With Partial Anomalous Pulmonary Venous Return? [1]

Submitted by ecurcio [2] on Thu, 2025-10-09 12:01

The Warden procedure is a common surgical method for repairing partial anomalous pulmonary venous return (PAPVR), but it may be complicated by cavoatrial anastomosis obstruction.  A retrospective analysis of 136 patients at Bambino Gesù Children’s Hospital revealed no deaths, with a median follow-up of 6.5 years. This study found that patients younger than 4.4 years or weighing less than 17.1 kg had a higher risk of requiring reintervention, suggesting that delaying the procedure until these thresholds are met may reduce the risk of complications unless clinically necessary.  

Source name: 
The Annals of Thoracic Surgery
Resource link: 
https://www.annalsthoracicsurgery.org/article/S0003-4975(25)00487-4/fulltext [3]
Taxonomy: 
Pulmonary Arteries [4]
Subspecialty(ies): 
Congenital [5]
Author(s): 
Matteo Trezzi, Marin Verrengia, Gianluca Brancaccio, Sergio Filippelli, Gianluigi Perri, Roberta Iacobelli, Lorenzo Galletti
Source URL:https://www.ctsnet.org/jans/there-ideal-age-or-weight-warden-procedure-patients-partial-anomalous-pulmonary-venous-return

Links
[1] https://www.ctsnet.org/jans/there-ideal-age-or-weight-warden-procedure-patients-partial-anomalous-pulmonary-venous-return [2] https://www.ctsnet.org/home/ecurcio [3] https://www.annalsthoracicsurgery.org/article/S0003-4975(25)00487-4/fulltext [4] https://www.ctsnet.org/taxonomy/pulmonary-arteries [5] https://www.ctsnet.org/categories/congenital