Surgical experience of total anomalous pulmonary venous connection in adults
10.3760/cma.j.cn112434-20200626-00308
- VernacularTitle:成人完全性肺静脉异位引流的手术体会
- Author:
Yongtao WU
1
;
Dong WANG
;
Can JIN
;
Zhiyi WANG
;
Pei CHENG
;
Junwu SU
;
Xiangming FAN
Author Information
1. 首都医科大学附属北京安贞医院小儿心脏科 100029
- Keywords:
Congenital heart disease;
Total anomalous pulmonary venous connection;
Adult
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2021;37(11):673-675
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the therapeutic strategy and result of adult total anomalous pulmonary venous connection(TAPVC).Methods:From November 2011 to November 2019, 6 adult patients with TAPVC underwent surgical correction. The Darling types include 4 cases of supracardiac , 1 case of intracardiac and 1 case of mixed type. There were 1 male and 5 female. The mean age was(28.6±4.8) years old and the mean weight was(47.3±3.67) kg. Preoperative oxygen saturation was 0.91±0.05.Results:All patients underwent primary repair successfully without perioperative death and complications. The average cardiopulmonary bypass time was(122.0±35.9) min, and the aortic cross-clamp time was(78.2±20.4) min. The mean postoperative hospitalization was(9.7±2.9) days, and the mean intensive care unit time was(3.5±1.4) days.The mean mechanical ventilation was(17.1±2.9) h. There were no later left heart dysfunction and pulmonary vein obstruction during the follow-up of 6-100 months.no pulmonary artery hypertension was identifed.Conclusion:TAPVC can be repaired savely in adult and satisfied result can be anticipated.
