Surgery for pulmonary venous stenosis after total anomalous pulmonary venous connection repair: Midterm results of 9 patients
10.7507/1007-4848.202007064
- VernacularTitle:完全性肺静脉异位引流术后肺静脉狭窄手术干预 9 例近中期结果
- Author:
Cheng WANG
1
;
Jun YAN
1
;
Guohua LUO
1
;
Yuchen ZHAO
1
;
Shuo DONG
1
;
Yajuan ZHANG
1
Author Information
1. WANG Cheng, YAN Jun, LUO Guohua, ZHAO Yuchen, DONG Shuo, ZHANG Yajuan
- Publication Type:Journal Article
- Keywords:
Total anomalous pulmonary venous connection;
pulmonary vein stenosis;
surgical treatment
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(11):1330-1333
- CountryChina
- Language:Chinese
-
Abstract:
Objective To review our experience of reoperations for pulmonary venous stenosis (PVS) after total anomalous pulmonary venous connection (TAPVC) repair for the past decade in Fuwai Hospital. Methods Nine patients underwent reoperation for PVS between 2009 and 2019 in Fuwai Hospital, including 4 males and 5 females with an average age of 5.10±5.00 years. The patients were divided into a sutureless group (n=3) and a non-sutureless group (n=6). Clinical data were reviewed and analyzed. Results For primary TAPVC type, 4 patients were supracardiac, 2 patients were cardiac, 1 patient was infracardiac, and 2 patients were mixed-type anomaly. The median cardiopulmonary bypass time was 95 (63, 208) min, aortic clamping time was 58 (30, 110) min, ICU stay was 24 (24, 2 136) h. Early hospital death occured in 1 (11.1%) patient. One (11.1%) patient with single ventricle physiology had hospital comorbidity, who underwent hemofitration therapy. The follow-up time was 11.9 (2.2, 18.0) months, during which 1 patient died of restenosis of pulmonary vein and another patient died of stroke. No statistically significant difference was found between the sutureless group and non-sutureless group in postoperative or follow-up results (P>0.05). Conclusion Surgery is effective for treatment of PVS after repair of TAPVC, yet with a realatively high morbidity and mortality. The advantage of sutureless repair over conventional repair for this particular group of patients is yet to be verified.
