Surgical treatment of total anomalous pulmonary venous connection.
- Author:
Liang CAO
1
;
Jian-Guo HU
;
Yi-Feng YANG
;
Jin-Fu YANG
;
Bang-Liang YIN
;
Xin-Min ZHOU
;
Zhong-Shi WU
;
Jian LIU
Author Information
1. Department of Cardiothoracic Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China. yjf19682005@yahoo.com.cn
- Publication Type:Journal Article
- MeSH:
Adolescent;
Adult;
Anastomosis, Surgical;
Child;
Child, Preschool;
Female;
Humans;
Infant;
Infant, Newborn;
Male;
Pulmonary Veins;
abnormalities;
surgery;
Retrospective Studies;
Young Adult
- From:
Journal of Central South University(Medical Sciences)
2007;32(4):542-545
- CountryChina
- Language:English
-
Abstract:
OBJECTIVE:To summarize the surgical treatment of total anomalous pulmonary venous connection (TAPVC).
METHODS:We retrospectively analyzed 49 patients with TAPVC as follows: 37 patients with supra-cardiac type in which 35 received anastomoses between the rear wall of the left atrium and the common pulmonary vein and the other 2 received anastomoses between the rear edge of the left atrium roof and the common pulmonary vein; another 12 patients with cardiac type who were incised the upper edge of coronary sinus, connected the common junction of pulmonary veins with the left atrium to form a new left atrium, and repaired the atrial septal defect with a pericardial patch.
RESULTS:Forty-six patients recovered and 3 patients died. Thirty-eight patients were followed-up from 3 months to 8 years. The rest patients got fluent pulmonary vein drainage and their heart function resumed to NYHA I.
CONCLUSION:TAPVC patients should be operated on immediately at definite diagnosis. The fluency of the common pulmonary vein-left atrium anastomoses and proper postoperative care can ensure a satisfactory outcome.
