Comparison of intracardiac and upturned approach for total anomalous pulmonary venous connection
10.3760/cma.j.cn112434-20210729-00247
- VernacularTitle:心下型完全肺静脉异位引流的心内法与上翻法的手术比较
- Author:
Yongtao WU
1
;
Dong WANG
;
Can JIN
;
Zhiyi WANG
;
Pei CHENG
;
Junwu SU
Author Information
1. 首都医科大学附属北京安贞医院小儿心脏科，北京 100029
- Keywords:
Congenital heart disease;
Total anomalous pulmonary venous connection;
Infracardiac
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2022;38(7):413-416
- CountryChina
- Language:Chinese
-
Abstract:
Objective:Analyze the effect of intracardiac method and upturning method in the treatment of infracardiac total anomalous pulmonary venous connection(TAPVC), to explore the surgical method of infracardiac TAPVC.Methods:From July 2011 to August 2019, 20 patients with infracardiac TAPVC were treated, including 12 cases with upturning method and 8 cases with intracardiac method. The cardiopulmonary bypass time, aortic cross-clamp time, delayed thoracic closure, ICU time, mechanical ventilation time, postoperative days and anastomotic flow rate were compared between the two groups.Results:There was no significant difference in cardiopulmonary bypass time, aortic cross-clamp time, delayed thoracic closure, ICU time and mechanical ventilation time between the two groups. The postoperative hospital stay in upturning group was significantly lower than that in intracardiac group [(14.7±2.9)days vs.(16.1±6.2)days, P<0.05], and the postoperative anastomotic velocity > 120 cm/s in intracardiac group was significantly less than that in upturning group(1 case vs. 7 cases, P<0.05). Two patients died in upturning group, but there was no significant difference compared with the intracardiac group. Conclusion:There is no significant difference between the two methods in the treatment of subcardiac TAPVC. The authors think that the exposure of the upturning methods is difficult, and the distortion of the anastomosis may be hidden trouble. The in situ anastomosis of the intracardiac method is not easy to make mistakes.
