Warden法：肺静脉引流异常

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Authors：Juan-Miguel Gil-Jaurena，.Ramón Pérez-Caballero，.Ana Pita Fernandez，.Diego Sanchez Valenzuela

Video Description：部分肺静脉连接异常(Partial anomalous pulmonary venous connections, PAPVC) 是一组异质性很高的病变，其中至少一个肺静脉排入系统经脉系统。这些先天性疾病常伴发心房中隔缺损(atrial septal defects, ASD)，典型表现为静脉窦性房间隔缺损。纠正方式须以这些异常静脉排入经脉系统的位点为基础。

作者给出了一个病例：一名6岁儿童肺叶上部和中部存在向上腔静脉的异常引流，并伴发大型房间隔缺损。在该视频中，作者展示了其修复这些先天性缺陷的首选技巧：Warden法。作者相信，Warden法是一种安全易复现的方式，并可纠正几乎所有异位引流。长远来看，这种修复方式可使患者免于出现节律失常和静脉通路阻塞。

Partial anomalous pulmonary venous connections (PAPVC) are a very heterogeneous group of lesions, in which at least one pulmonary vein is draining into the systemic venous system. These congenital lesions are frequently associated with atrial septal defects (ASD), typically the sinus venous type of defect. The type of correction must be determined based on the site of drainage of these anomalous veins.

The authors present a case of 6-year-old child with an anomalous venous drainage from the superior and medial lung lobes to the superior vena cava, associated with a large ASD. This video demonstrates the authors’ preferred technique for repairing these congenital defects, using the warden technique. The authors believe that the warden technique is a safe and reproducible way to correct almost every case of anomalous drainage. In the long term, this type of repair may protect from rhythm disturbances and from venous pathway obstruction.