Integrated management during the perinatal period for total anomalous pulmonary venous connection.
10.7499/j.issn.1008-8830.2211120
- Author:
Yi SUN
1
;
Si-Lin PAN
1
;
Zhi-Xian JI
1
;
Gang LUO
1
;
Hao WAN
;
Tao-Tao CHEN
;
Ai ZHANG
;
Rui CHEN
1
;
Quan-Sheng XING
1
Author Information
1. Heart Center, Women and Children's Hospital, Qingdao University/Qingdao Women and Children's Hospital, , Qingdao) Shandong, China 266034.
- Publication Type:Journal Article
- Keywords:
Child;
Congenital heart disease;
Fetus;
Integrated management;
Perinatal period;
Total anomalous pulmonary venous connection
- MeSH:
Female;
Humans;
Pregnancy;
Echocardiography;
Heart Defects, Congenital/surgery*;
Pulmonary Veins/surgery*;
Retrospective Studies;
Scimitar Syndrome/surgery*;
Infant, Newborn
- From:
Chinese Journal of Contemporary Pediatrics
2023;25(5):502-507
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVES:To evaluate the clinical effectiveness of integrated management during the perinatal period for fetuses diagnosed with total anomalous pulmonary venous connection (TAPVC) by prenatal echocardiography.
METHODS:Clinical data of 64 cases of TAPVC fetuses diagnosed by prenatal echocardiography and managed with integrated perinatal care in Qingdao Women and Children's Hospital from January 2017 to December 2021 were retrospectively analyzed. Integrated perinatal care included multidisciplinary collaboration among obstetrics, fetal medicine, ultrasound, pediatric cardiology, pediatric anesthesia, and neonatology.
RESULTS:Among the 64 TAPVC fetuses, there were 29 cases of supracardiac type, 27 cases of intracardiac type, 2 cases of infracardiac type, and 6 cases of mixed type. Chromosomal analysis was performed in 42 cases, and no obvious abnormalities were found. Among the 64 TAPVC fetuses, 37 were induced labor, and 27 were followed up until term birth. Among the 27 TAPVC cases, 2 cases accepted palliative care, 2 cases were referred to another hospital for treatment and lost to follow-up, while the remaining 23 cases underwent primary repair surgery. One case died within 6 months after the operation due to low cardiac output syndrome, while the other 22 cases were followed up for (2.1±0.3) years with good outcomes (2 cases underwent a second surgery within 1 year after the first operation due to anastomotic stenosis or pulmonary vein stenosis).
CONCLUSIONS:TAPVC fetuses can achieve good outcomes with integrated management during the perinatal period.
