Retrospective single center analysis:sutureless technique for neonates with total anomalous pulmonary venous connec-tion
10.3760/cma.j.issn.1001-4497.2018.11.009
- VernacularTitle:Sutureless技术矫治新生儿完全性肺静脉异位引流单中心应用体会
- Author:
Xiaohua LI
1
;
Zewen CHEN
;
Jimei CHEN
;
Jian ZHUANG
;
Yifan LI
;
Jianzheng CEN
;
Shusheng WEN
;
Gang XU
;
Qiang GAO
;
Junfei ZHAO
Author Information
1. 广东省人民医院 广东省医学科学院 广东省心血管病研究所心外小儿科 广东省华南结构性心脏病重点实验室
- Keywords:
Total anomalous pulmonary venous connection;
Neonates;
Sutureless technique;
Surgical repair
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2018;34(11):675-678
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrospectively analyse the outcomes following primary Sutureless technique used in our hospi-tal for neonates with total anomalous pulmonary venous connection(TAPVC)and sum up surgical operative experiences. Meth-ods Date were collected retrospectively in 42 neonates who underwent primary Sutureless technique for TAPVC between Janu-ary 2008 and December 2015. Cardiopulmonary bypass time,aortic clamped time,velocity of pulmonary veins and other relat-ed data were recorded during and after operation. Results There were 31 males and 11 females with median age of 8. 0 days old,of whom 25 were supracardiac TAPVC(59. 5％)and 17 were infracardiac TAPVC(40. 5％). After operation, 1 neonate died and none suffered from pulmonary vein obstruction(PVO). In follow-up period,there was 1 neonates suffered from PVO. Six neonates came back to hospital again because of septicemia,poor wound healing,bronchopneumonia and incomplete intesti-nal obstruction. Conclusion Sutureless technique is a wise surgical strategy for neonates with TAPVC for better outcomes and decreasing postoperative mortality rate and recurrence rate of PVO.
