Surgery for total anomalous pulmonary venous connection and long term follow up
نویسنده
چکیده
Methods In the period between January 1998 and April 2013, 84 patients (48 boys) underwent repair for total anomalous pulmonary venous connection. Their ages ranged from 2 weeks to 1.6 years (mean 4 months). The patients’ weight ranged from 3 to 8 kg (mean 5 kg). About 71% of patients (n = 60) were less than the 50th percentile of predicted weight for age and sex. The anomalous connection was supracardiac in 69 (82%), cardiac in 9 (11%), infracardiac in 3(3.6%) and mixed in 3(3.6%) patient. Eighteen (21%) patients had obstructed drainage and 27 patients (32%) had moderate or severe pulmonary arterial hypertension. Fifteen patients (18%) had to be operated upon on an emergency basis. For supracardiac and infracardiac connections, transcardiac approach was used for anastomosis. In cardiac type, coronary sinus was unroofed and the resultant defect along with atrial septal defect was closed with a single patch.
منابع مشابه
Midterm results after surgical correction of total anomalous pulmonary venous connection
Abstract Objective: To evaluate the surgical treatment of total anomalous pulmonary venous connection (TAPVC) and determination of predictors for postoperative death. Methods: Between 1995 and 2005, 80 patients aged from 1 month to 12 years underwent surgical repair for supracardiac (39), cardiac (34), infracardiac (3) or mixed (4) type of TAPVC. Systemic pulmonary hypertension (PH) in ...
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OBJECTIVES Total anomalous pulmonary venous connection (TAPVC) occurs as isolated cases, in combination with single ventricle physiology, and may be complicated by pulmonary venous obstruction. We sought to identify potential risk factors for long-term mortality and reoperations. METHODS Data from 193 consecutive patients who had undergone repair of TAPVC between 1974 and 2011 were analysed u...
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