Perioperative care of total anomalous pulmonary venous connection in newborns and babies within 6 months
10.3760/cma.j.issn.1001-4497.2014.03.008
- VernacularTitle:小于6个月婴儿完全性肺静脉异位引流的围手术期监护
- Author:
Yaqin SHU
;
Wei PENG
;
Jirong QI
;
Jian SUN
;
Xuming MO
- Publication Type:Journal Article
- Keywords:
Heart diseases,congenital;
Total anomalous pulmonary venous connection;
Cardiac surgical procedures;
Perioperative care
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2014;30(3):156-159
- CountryChina
- Language:Chinese
-
Abstract:
Objective To summarize perioperative care and effect of surgical treatment of total anomalous pulmonary venous connection (TAPVC) in newborns and babies within 6 months.Methods From September 2001 to May 2013,ninetytwo consecutive patients with TAPVC received surgical correction under cardiopulmonary bypass (CPB) with moderate or deep hypothermia.The anatomic subtype included supracardiac type 48,intracardiac type 36,infracardiac type 6 and mixed type 2.There were 36 newboms.Pathological diagnosis was made by echocardiogram,computerized tomography and operative findings during operation.The option of procedure was determined by findings.Respirator assisted breathing after operation and cardiac function was maintained by a variety of positive inotropic drugs,to prevent the happening of the pulmonary hypertension crisis.Results Severely low cardiac output syndrome occurred in 8 patients and they died within 24 hours after operation.The remaining cases postoperative recover smoothly and receive postoperative follow-up about 1 month to 12 years,3 cases of postoperative pulmonary vein stenosis (PPVS) occurred.Conclusion Total anomalous pulmonary venous connection should be surgical treatment as soon as possible with satisfied effect.The key of perioperative care is maintenance of left heart function,negative balance of liquid,prevention and treatment of pulmonary hypertension.
