Surgical Correction of Total Anomalous Pulmonary Venous Connection without Total Circulatory Arrest.
- Author:
Won Kyung HAN
1
;
Joon Yong CHO
;
Jong Tae LEE
;
Kyu Tae KIM
;
Bong Hyun CHANG
;
Eung Bae LEE
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Kyungpook National University Hospital, Korea. jycho@knu.ac.kr
- Publication Type:Original Article
- Keywords:
Pulmonary vein, total anomalous return;
Total circulatory arrest, induced;
Cardiopulmonary bypass
- MeSH:
Aorta;
Cardiopulmonary Bypass;
Circulatory Arrest, Deep Hypothermia Induced;
Constriction, Pathologic;
Follow-Up Studies;
Hospital Records;
Humans;
Hypothermia;
Mortality;
Pneumonia;
Pneumothorax;
Postoperative Complications;
Respiratory Paralysis;
Retrospective Studies;
Wound Infection
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2006;39(1):12-17
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: Circulatory arrest under deep hypothermia is an important auxiliary means for surgical correction of total anomalous pulmonary venous connection (TAPVC). However, cardiac operations under deep hypothermic circulatory arrest are associated with the risk of post-arrest neurologic abnormalities. The purpose of this study is to evaluate the results of the surgical correction of total anomalous pulmonary venous connection without the total circulatory arrest. MATERIAL AND METHOD: Between April 2000 and October 2004, hospital records of 10 patients were reviewed retrospectively. RESULT: The locations for abnormal anatomical connections were supracardiac in 7 cases, cardiac in 1 case, and infracardiac in 2 cases. The mean cardiopulmonary bypass time and aorta cross clamp time were 116.8+/-40.7 and 69.5+/-24.1 minutes. There was no surgical mortality. Postoperative complications were post-repair pulmonary venous stenosis in 1 case, pneumonia in 1, pneumothorax in 1, wound infection in 1, and diaphragmatic paralysis in 1. All patients without pulmonary venous stenosis were in NYHA class I at mean follow-up of 16.6 months (3~49 months) CONCLUSION: We could obtain excellent results by repair without the total circulatory arrest for total anomalous pulmonary venous connection.
