The sutureless technique for total anomalous pulmonary venous connection
10.3760/cma.j.cn112434-20210702-00220
- VernacularTitle:无内膜接触缝合技术治疗完全性肺静脉异位引流进展
- Author:
Jin SHENTU
1
;
Guochen SHI
;
Huiwen CHEN
Author Information
1. 上海交通大学医学院附属上海儿童医学中心心脏外科,上海 200127
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2022;38(6):368-370
- CountryChina
- Language:Chinese
-
Abstract:
Sutureless technique is a recently developed operation as a first-line therapeutic options for total anomalous pulmonary venous connection (TAPVC). It was originally used to relieve postoperative pulmonary venous obstruction after TAPVC repair and shared a favorable safety and efficacy. Sutureless technique has advantage over conventional repair since the sutures will not touch the intima of pulmonary veins, leading to limited intimal hyperplasia and anastomotic stenosis. In recent years, the sutureless technique has been adopted as a prophylactic method to reduce postoperative obstruction. Compared with the conventional surgery, the indications of the sutureless technique are yet unclear, and a variety of improved methods of sutureless technique with satisfactory outcomes have emerged. This paper review the development of the sutureless technique, introduce some improvements of the surgical technique and summarize indications of suturelss technique.