Improved treatment of total anomalous pulmonary venous drainage (supracardiac anastomosis)

VernacularTitle:改良法治疗心上型完全性肺静脉异位引流
Author: Wei LI ; Yanrong ZHOU ; Bocheng CHEN ; Lin CHEN ; Yingbin XIAO ; Qi AN
Publication Type:Journal Article
Keywords: total anomalous pulmonary venous connection; supracardiac type; surgical treatment
From:Journal of Regional Anatomy and Operative Surgery 2014;(2):165-167
CountryChina
Language:Chinese
Abstract: Objective To summarize the effect of venous anastomisis from left atrium-common venous anastomisis ( supracardiac anasto-mosis) at the top of left atrium,and to find the best method to treat total anomalous pulmonary venous connection ( TAPVC) . Methods 52 cases,of which 35 male and 17 female with the age of 1 month to 41 years old and the weight of 3. 1~77 kg,hospitalized in West China hos-pital from January 2000 to April 2008,were treated by supracardiac anastomosis. Results One was dead and the other 51 cases were fully recovered and left hospital. After the operation,no anastomotic stenosis or arrhythmia was observed except the dead one. During follow-up peri-od which lasted from 3 months to 12 years,the heart function of 45 cases were normal. Conclusion supracardiac anastomosis can reduce the risk of anastomotic stenosis and arrhythmia,it is a promising method to treat supracardiac type TAPVC .