Treatment strategies of vertical vein during correction for total anomalous pulmonary venous connection in newborns
- VernacularTitle:新生儿完全性肺静脉异位引流矫治术中垂直静脉的处理策略
- Author:
Xiaohua LI
1
,
2
;
Jimei CHEN
1
,
2
;
Ciyan XIE
1
,
2
;
Hailong QIU
1
,
2
;
Jianzheng CEN
1
,
2
;
Shusheng WEN
1
,
2
;
Gang XU
1
,
2
;
Jian ZHUANG
1
,
2
Author Information
1. Department of Cardiac Surgery, Guangdong Provincial People&rsquo
2. s Hospital, Guangdong Academy of Medical Sciences, Guangdong Cardiovascular Institute, Guangdong Provincial Key Laboratory of South China Structural Heart Disease, Guangzhou, 510080, P.R.China
- Publication Type:Journal Article
- Keywords:
Total anomalous pulmonary venous connection;
vertical vein;
newborn;
surgery;
treatment
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2020;27(06):640-644
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the effect of different treatment strategies of vertical vein on the postoperative efficacy of total anomalous pulmonary venous connection (TAPVC) in newborns. Methods The clinical data of 72 TAPVC newborns who underwent correction in our hospital from June 2008 to January 2018 were retrospectively analyzed. There were 59 males and 13 females, with an average age of 9.93±8.13 d. According to different vertical vein treatment strategies, the patients were divided into an unligated group (22 patients), a partially ligated group (23 patients) and a completely ligated group (27 patients). The mortality and incidence of common complications among the groups were compared. Results In the completely ligated group, the aortic cross-clamp time was longer (P=0.001), intraoperative circulatory arrest cases were less (P=0.005), and the early velocity of pulmonary vein was faster (P=0.029), but there was no significant difference in the velocity of pulmonary vein for the last follow-up among three groups (P=0.393). There was no significant difference in other perioperative indicators among groups, including the early mortality, the incidence of pulmonary vein obstruction and the non-closure of vertical vein after surgery (P>0.05). The mean follow-up time was 4.47±2.63 years. The follow-up mortality was not significantly different among groups (P>0.05). The cardiac function (NYHA) of all the 64 survived patients was classⅠ-Ⅱ. Conclusion Proper vertical vein treatment strategies may be conducive to a smooth transition after surgery, ensuring the success of surgeries.
